2019 GPAHU Emerging Leaders Program Application

To meet our application deadline, you must submit your application materials by 11:59 pm on March 31st 2019
To be considered for our Leadership Program carefully complete ALL the questions in the application, taking time to be thoughtful in your answers (150-200 words MIN for each answer).
You may want to draft these answers in advance as the application typically takes about 30 minutes to complete if you have all the above information and documents.

Personal Details

Name

Company

Position

Local Office Address (required)

Phone Number

Education

Undergraduate (school and degree)

Postgraduate (school and degree)

Are you a current GPAHU/NAHU member?
YesNo

Have you attended a GPAHU event previously?
YesNo

Number of years of experience in the Health Insurance Industry ?

Leadership

In a brief personal statement, tell us about yourself and comment on your views about leadership?

Why do you want to participate in a leadership development program?

Please highlight any current or previous leadership programs you are/have participated in:

Where do you see yourself professionally in the next 3-5 years?

What do you hope to gain from this experience from a personal and/or professional basis?

References

Please provide the name and contact information for two professional references.
Professional Reference #1
Name

Company

Position

Phone Number

Professional Reference #2
Name

Company

Position

Phone Number

Documents

Please attach the following:
Current resume (acceptable formats Word document or PDF )

Current headshot (max size 5MB acceptable format jpg )

A letter of professional reference (max size 2MB acceptable format Word document or PDF

By clicking this button, I consent to sending my information to GPAHU.net and applying for 2019 Emerging Leadership Program

2019 GPAHU Emerging Leaders Program Application