2026 Connect New Mexico Program Application
Connect New Mexico is a five-month, statewide leadership experience for emerging professionals who are ready to grow as leaders and deepen their understanding of New Mexico and their role in shaping its future. Designed for early- to mid-career leaders, Connect focuses on self-awareness, leadership development, and civic understanding.
Instructions for Completing the Application:
Please complete all required fields in the application form, as incomplete applications will not be considered. You will be asked to provide information about your professional background, leadership experience, and community involvement, along with a brief statement of interest. Applicants should be prepared to fully commit to all program sessions if selected. Selected applicants will be notified by email with next steps, including tuition, logistics, and important deadlines. All application materials must be submitted by May 29, 2026, and late submissions will not be accepted. We look forward to learning more about you and the perspective you would bring to the Connect New Mexico cohort.
Save & Return Instructions
To save your progress and return to your application later, click “Save” at the bottom of the page. A pop-up will appear, allowing you to either create a Jotform account or select “Skip Create an Account” to receive a secure link (via email or direct link) that you can use to access and complete your application at a later time.
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Personal Data & Demographics
In this section, we will collect your basic personal information and demographic details to better understand the backgrounds and perspectives of our applicants.
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First Name
Middle Name
Last Name
Suffix
Email Address
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Confirmation Email
Home/Cell Phone
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Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Date of Birth
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Month
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Day
Year
Age
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Gender
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Other/Prefer Not to Answer
Race/Ethnic Background
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Asian
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Home Address
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Street Address
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Business Address
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Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Preferred Mailing Address
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Home
Business
Spouse or Partner's Name and Occupation
How long have you lived in New Mexico?
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Have you participated in another state or community leadership program? If so, please describe your involvement, including the program name, location (city, county, or region), and the dates of participation.
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Employment Information
In this section, you will provide information about your current and past employment, including your role, organization, and key responsibilities.
Current Employer/Organization Name
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Sector
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Title
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Beginning Date
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Month
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Day
Year
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Business & Professional Affiliations
In this section, you will list any professional memberships, boards, or affiliations that reflect your involvement in your industry or field.
If applicable, please list any current or past business and professional affiliations. Do not include civic organizations, public service, or political activities in this section.
Please provide three (3) professional references who can speak to your leadership experience, character, and readiness for participation in Leadership New Mexico’s Connect New Mexico Program.
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Reference Name
Title
Organization
Relationship to You
Email Address
Phone Number
Reference #1
Reference #2
Reference #3
Please upload your letter of recommendation, preferably from Leadership New Mexico alumni, that speaks to your leadership, character, and readiness for the Connect New Mexico Program. Letters should be on organizational letterhead when possible and signed by the recommender. Accepted formats include PDF or Microsoft Word document.
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I confirm that the information provided above is accurate and that the uploaded letter of recommendation is submitted with recommender knowledge and consent.
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Education
In this section, you will share your educational background, including degrees earned, institutions attended, and any relevant certifications.
List your high school, college(s), advanced degrees, and/or specialized training.
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If applicable, please list activities, leadership roles, honors, and special contributions during your education and/or training.
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Community Involvement
In this section, you will describe your participation in community service, volunteer work, or civic engagement activities.
If applicable, please list the community, civic, professional, or volunteer organizations you have been involved with. Include your role and the years of involvement.
Looking back, what do you consider your most meaningful contribution to your community, and why?
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What do you consider your most important accomplishment in community or civic activities? Why?
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Have you received any awards or recognition for your community involvement? If so, please share.
Looking ahead, what kinds of community or statewide activities would you like to become more involved in, and what motivates that interest?
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Your Goals and Contributions
In this section, you will tell us why you are applying, what you hope to gain from the program, and how you plan to contribute to the cohort experience.
What leadership skills or knowledge do you most hope to develop through this program?
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How do you see the Connect New Mexico Program helping you in your current role and in your future goals?
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What experiences, skills, or perspectives do you bring that will benefit your classmates and enrich the program?
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Program Policies & Agreements
In this section, you will review and acknowledge the Connect New Mexico Program’s expectations, policies, and required commitments for participation.
If accepted into the Connect New Mexico Program, the participant, financial sponsor, and/or employer will be billed for the tuition fee of $2,500, which includes all program costs, materials, meals, and transportation during sessions. Participants are responsible for lodging and transportation costs to and from sessions. Who will pay for your tuition?
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I understand that, if selected to participate in the Connect New Mexico Program, I am expected to attend and fully participate in all program functions, including the opening retreat, three three-day sessions, and the graduation ceremony.
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I understand
I understand that attendance at the opening retreat and graduation is mandatory, and that if I miss more than 1 1/2 days of the remaining sessions for any reason, I will be automatically dropped from the program with no portion of my tuition refunded.
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I understand
I understand my responsibility to fully engage in and uphold the expectations of the program, and that failure to meet these obligations may result in being asked to withdraw.
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I understand
I understand that photographs and/or video may be taken throughout the duration of the program, including at all sessions and events, and that these images may be used by Leadership New Mexico for purposes including, but not limited to, social media, marketing, advertising, publicity, and other promotional materials.
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By signing below, I confirm that I have the approval, full support, and commitment of my employer to participate in the Connect New Mexico Program. This commitment includes providing the necessary time away from work to attend and fully engage in all scheduled program sessions.
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I understand that by signing this application, my signature constitutes the legal equivalent of my handwritten signature. I certify that I accept and agree to be bound by all terms, conditions, obligations, and commitments of the Connect New Mexico Program, including all referenced policies and requirements. I further affirm that I am the individual identified in this form, am authorized to submit this information on my own behalf, and that all information provided in this application is true, accurate, and complete to the best of my knowledge.
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