Form
GLMA Health Trainee Co-Chair Application
Co-Chairs of the Health Professionals in Training represent GLMA’s student and trainee members and attend GLMA board meetings as a full voting board member. HPiT Co-Chairs are selected for a two-year term, with one possible renewal, for a maximum of 3 years. HPiT Co-Chairs terms will run from September – September across calendar years. Application deadline is May 31, 2026. For a full description, visit this page: https://glma.org/hpit_co-chair.php. Demographic questions are optional. Please email any questions to: hpitcommittee@glma.org
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First Name
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Last Name
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Credentials
Pronouns
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Email
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Current Degree Program (Please choose all that apply)
Public Health (Masters, Doctorate)
Social Work (Masters, Doctorate)
Psychology (Masters, Doctorate)
Counseling (Masters, Doctorate, LPC, BCC, NCC)
Marriage and Family Therapy (LMFT)
Health Care Administration
Nurse Practitioner (NP)
Nursing (PhD)
Registered Nurse (RN, BSN, ADN)
Physician Assistant/Physician Associate
Pharmacy
Physical Therapy, Occupational Therapy
Medical Doctorate/Doctorate of Osteopathy
Speech-Language Pathology
Art & Expressive Art Therapy (Masters, Doctorate)
Other
Expected Completion Date (Month and Year)
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Educational Institution
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City
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State
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Are you a current member of GLMA? (Not a requirement to apply, but you'll be required to register as a student member if you choose to accept the position)
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Yes
No
Current Group/Organization Memberships
Brief Personal Statement (300 words or less)
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What work have you done in LGBTQ+ health that you believe qualifies you to be a GLMA HPiT Co-chair? Please highlight relevant work, research, volunteer, or advocacy experiences.
Please list skills/interests you would like to share. This can be a short list of areas you feel comfortable advising others or have extensive experience.
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LinkedIn URL
How did you hear about this role?
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Attach your CV/Resume as a PDF
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Confirm that you have capacity to attend monthly recurring meetings, and understand that as co-chair you will have a facilitator role
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Yes
No
Unsure
Confirm capacity/availability to attend quarterly board meetings either in person or virtually
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Yes
No
Unsure
Confirm availability to attend GLMA's annual conference and associated HPIT events (scholarship funds are available to facilitate support)
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Yes
No
Unsure
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