Volunteer to Join an E-AHPBA Committee

E-AHPBA are seeking new committee members who are enthusiastic, committed and have the time, experience and qualities required to make a difference to the Association. If you feel that you have something to contribute please complete the form below.

The deadline for submission is Friday 28th February 2025.

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1. Please provide the following information: (Required.)

Title:

Full Name:

Hospital/Institution/Company:

City/Town:

Country:

Email Address:

Mobile Number

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2. Please provide your date of birth: (Required.)

Format DD/MM/YYYY:

Date

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3. Please advise your Gender: (Required.)

Male:

Female:

Transgender

Non-binary/non-conforming

Prefer not to answer

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4. How long have you been a member of E-AHPBA: (Required.)

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5. Please advise the committee you would like to serve on: (Required.)

Communications Committee

Innovation Committee

Membership Committee

Scientific & Research Committee

Education Committee

Audit Committee

Scientific Programme Committee for E-AHPBA 2027

Other (please specify)

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6. Please detail your qualifications and qualities which you consider relevant in fulfilling this role:
(For example past council or committee work, publishing, social media skills, key links with industry, educational leadership, research strategy, conference organisation, charitable/philanthropic activity, goverance, audit roles, leadership roles in surgery): (Required.)

Volunteer to Join an E-AHPBA Committee

Question Title

1. Please provide the following information: (Required.)

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2. Please provide your date of birth: (Required.)

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3. Please advise your Gender: (Required.)

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4. How long have you been a member of E-AHPBA: (Required.)

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5. Please advise the committee you would like to serve on: (Required.)

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7. Please detail any similar roles or relevant experience within other organisations: (Required.)

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8. Please detail any other supporting information: (Required.)

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9. Please upload your CV:

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10. Please give the name of an E-AHPBA member who will provide a letter of support: (Required.)

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11. If available please upload the letter of support:

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* 1. Please provide the following information: (Required.)

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* 2. Please provide your date of birth: (Required.)

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* 3. Please advise your Gender: (Required.)

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* 4. How long have you been a member of E-AHPBA: (Required.)

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* 5. Please advise the committee you would like to serve on: (Required.)

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* 7. Please detail any similar roles or relevant experience within other organisations: (Required.)

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* 8. Please detail any other supporting information: (Required.)

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* 9. Please upload your CV:

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* 10. Please give the name of an E-AHPBA member who will provide a letter of support: (Required.)

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* 11. If available please upload the letter of support:

1. Please provide the following information: (Required.)

2. Please provide your date of birth: (Required.)

3. Please advise your Gender: (Required.)

4. How long have you been a member of E-AHPBA: (Required.)

5. Please advise the committee you would like to serve on: (Required.)

7. Please detail any similar roles or relevant experience within other organisations: (Required.)

8. Please detail any other supporting information: (Required.)

9. Please upload your CV:

10. Please give the name of an E-AHPBA member who will provide a letter of support: (Required.)

11. If available please upload the letter of support: