Volunteer for an IHPBA 2026

Volunteer for an IHPBA 2026 - 2028 Committee
YesNo

YesNo

Please indicate any committees and terms that you have been involved in*

Rows	Term Prior to 2018	Term 2018-2020	Term 2020-2022	Term 2022-2024	Term 2024-2026
Allied Health Professionals
Audit
Education & Training
Finance
Global Collaborations
Innovation
Early Career Group Leadership Council
Research
Publications & Communications
Inclusive Excellence
Executive
Foundation Board
Scientific

YesNoUnsure

Please indicate any committees and terms that you self nominated for (if you are unsure please leave blank)

Rows	Term Prior to 2018	Term 2018-2020	Term 2020-2022	Term 2022-2024	Term 2024-2026
Allied Health Professionals
Audit
Education & Training
Finance
Global Collaborations
Innovation
Early Career Group Leadership Council
Research
Publications & Communications
Inclusive Excellence
Executive
Foundation Board
Scientific

Early Career Group (age 45 and under)Education and TrainingPublications and CommunicationsResearchScientific Programme (2028 World Congress)FinanceAudit (Financial Audit)Global CollaborationsAllied Health Professionals GroupInclusive ExcellenceNo PreferenceInnovation
What impact would you like to make as a member of this committee?*
YesNo
Please detail the current regional committee you are serving on*
Please list any previous committee experience or leadership activities with similar associations (not required)
Personal Information
Name*

PrefixFirst NameFamily Name
Email*
Institution or Hospital*
Town/City*
Country*
Demographics
The IHPBA collects information on age, gender identity, race and ethnicity to help ensure equity of access and representation for all of our members.
FemaleMaleNon-BinaryPrefer not to sayOther
Asian or Pacific IslanderBlack or African AmericanHispanic or LatinXIndigenous Person, Native American or Alaskan Middle Eastern, North AfricanMultiracialNativeWhite or caucasianEthnic minority in my country of residencePrefer not to answerOther
Date of Birth *

MonthDayYear
Date
AHPBAA-PHPBAE-AHPBA
Less than 1 year1 year2 years3 years4 years5 yearsOver 5 years
Past Council/committee workPublishingSocial media skillsKey links with industryEducational leadershipConference/meeting organisationFund raisingGovernanceAudit rolesLeadership roles in surgeryCommunity/relationship-builderGenerator of ideasProblem solverCatalystResearch strategy, Development, Implementation, ManagementOther
What makes you an excellent candidate for serving on an IHPBA committee?
Name of IHPBA Member who can provide a letter of support (by adding the details you confirm that you have received permission from the IHPBA member)

Referee First NameReferee Family Name
Please provide the email address for the person provided above (by adding the details you confirm that you have received permission from the IHPBA member)
example@example.com
YesNo

Volunteering for an IHPBA Committee, is available to IHPBA members, for more information and to join, please visit: https://www.ihpba.org/14_FeesApplications.html
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Volunteer for an IHPBA 2026 - 2028 Committee

Personal Information

Demographics