Leadership Development Program Application

International Association

of Black Actuaries

PO Box 24245 Cleveland OH 44124

iaba@blackactuaries.org

www.blackactuaries.org
Leadership Development Program Application

Please fill out the application form carefully. Deadline 6/20/2025
Full Name*

First NameLast Name
Preferred E-mail*
example@example.com
Phone Number*
Gender*
Pronouns
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer*
Job Title*
Description of your current responsibility*
Are you a member of IABA?*
Highest Credential*
Are you actively taking exams?*

YesNo
List of professional honors, awards, or publications; professional or volunteer activities.

Explain why you believe you are well-suited for this program. Discuss your motivations for applying, how your past experiences have prepared you for this opportunity, and how the program aligns with your long-term goals.*

0/150
Please carefully review each question and provide thoughtful, detailed responses. The document is formatted so that each question is presented on its own page.

Responses are limited to 150 words. Important Instructions:1. You must complete the Personal Statement section (Question 4). 2. In addition to the Personal Statement, please choose 2 out of the 3 other questions to answer. If not please mark N/A
1. Describe a time you applied technical expertise to solve a business problem. How did you bridge the technical insights with strategic decision-making, and what was the business impact?

*Please choose this question only if it aligns with your experience* 0/150
2. Describe a situation where you collaborated with a cross-functional team to achieve a significant goal. Highlight your role, the challenges faced, and how you worked with others to find solutions. Include examples of cross-functional collaboration (i.e. across business functions) if applicable.

*Please choose this question only if it aligns with your experience* 0/150
3. Describe a role change you have had that expanded your responsibilities or exposed you to a different part of the business. What did you learn from this transition, and how did it shape your leadership growth?

*Please choose this question only if it aligns with your experience*0/150

Resume*

PDF only
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Letter of Sponsorship/Support from Employer

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Headshot*
Signature*
Should be Empty:

Leadership Development Program Application

Please carefully review each question and provide thoughtful, detailed responses. The document is formatted so that each question is presented on its own page.