2027 IAHA Leadership Application Form

Contact Details

First Name

Last Name

Title

Email Address

Verify Email Address

Mobile

Primary Address

Line 1

Address City

Address State

Address Postcode

Please complete the following questions

What is your current job title or position?

In which town/city and state do you currently reside

Who is your mob/connections, heritage?

My IAHA Membership type is

What is your educations, qualification, skills, etc?

What are your professional interests

Have you completed any other leadership programs, please list or name

What is your community involvement? Have you volunteered or been a representative on boards, advisory committees etc?

Are you a prior recipient of the Puggy Hunter Memorial Scholarship Scheme

What engagement/involvement have you had as a member of IAHA?

Why is leadership important to you?

Why do you want to join the 2027 IAHA Leadership Program, e.g. personal, professional, cultural and/or leadership reasons?

How will you share lessons from the 2027 Leadership Program with others?

Do you have any further information you would like to share

In ensuring that you are supported to have full participation in the IAHA Leadership Program, are there any accessibility or support requirements you would like IAHA to be aware of?

Please tell us how we may be able to assist you

I commit to attend the first face to face Intensive 8 - 12 March 2027

I commit to attend the second face to face intensive 16- 20 August 2027

I commit to attend the final face to face Intensive and IAHA National Conference 28 November - 2 December 2027

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2027 IAHA Leadership Program Application

Contact Details

Primary Address

Please complete the following questions

I agree to comply with these commitments

Thank you for submitting your application, we will be in contact in the near future.