Skip to content

2026 Nomination Form - Indiana Public Health Association Board of Directors

Thank you for your interest in joining the Indiana Public Health Association Board of Directors! We seek diverse representation - in all its forms - of public health professionals and partners committed to guiding and supporting the mission of IPHA. Board members advance the organization's goals by offering strategic leadership, attending monthly board meetings, actively promoting membership, participating in committee meetings and events, and engaging in fund development activities.

View the IPHA Board of Directors Member Agreement here . Learn more about IPHA here.

Please complete this form by September 4, 2026. Contact Robin Vida (robin.vida@oaklawn.org) with questions.
1.First name(Required.)
2.Last name(Required.)
3.Organization/Affiliation(Required.)
4.Title(Required.)
5.Email address(Required.)
6.Phone number(Required.)
7.Address(Required.)
8.Please attach your resume/curriculum vitae (optional).
No file chosen
9.Please provide a brief biographical statement (150 words or less). If selected, your biographical statement will be used for the slate that is presented to IPHA membership. (Required.)
10.How many hours per month could you dedicate to IPHA Board efforts?(Required.)
11.Tell us briefly about your relevant experiences, employment, and/ or other board services.(Required.)
12.Why are you interested in serving on this board?(Required.)
13.What specific area(s) of expertise would you bring to the board?(Required.)
14.What benefits do you hope to realize from participation on the board?(Required.)
15.In what areas are you interested in getting more involved and/or volunteering with IPHA?(Required.)
16.IPHA is committed to advancing equity, diversity, and inclusion. If applicable, what experience or expertise do you have in this area?(Required.)
17.What questions do you have related to this opportunity?