2026–2028 Board Application Form

2026–2028 Board Application Form

Thank you for your interest in joining the International Gaucher Alliance Board. Please complete the application below.
Please select which type of application you are making:
Applicant Information
1. Name

First NameLast Name
2. Country
3. Email
example@example.com
4. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
5. IGA Member Organisation Name (if applicable)
6. Position within organisation (if applicable)
7. Current role/profession/experience relevant to the IGA
8. Is there an IGA Member Organisation in your country?
9. Is there another organisation in your country that supports people affected by Gaucher disease but is not currently an IGA member?
9b. If yes to either of the above, please explain your relationship with those organisations and why you are applying independently.
10. Skills and experience statement, please outline in no more than 500 words the skills and experience you would bring, why you would like to join the Board, and the contribution you hope to make.
11. Skills, I have the following skills to offer.
12. Do you have any conflicts of interest? A conflict of interest is any personal, professional or financial interest that could influence, or appear to influence, your ability to act impartially as an IGA Board member.
12b. If yes or unsure, please provide details
13. Upload CV

Cancelof
14. Final declaration
15. Signature
16. Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Applicant Information