Skip survey header

Application for Elected Office 2025-2026

Before You Submit...

Candidates interested in applying for a position as an ADHA Elected Officer must submit a complete application and upload the required supplemental materials.  Please submit your completed form with supplemental materials by the last Friday in March.

It is a good idea to make sure have all the supplemental information available for upload before you begin your application. The following supplemental materials are required within this form:

1. Please provide a professional summary limited to 300 words that only includes your leadership experience for the past 5 years which could include, but is not limited to:
  • Education
  • Association  Experience (Component, Constituent & National)
  • Professional Experience (Private Practice, Education, Managed Care)
  • Related Experience (Liaison Activities, Legislative Activities, Fundraising)
  • Professional Honors/Recognition.
 
2. Please review Process and Timeline for Elected Positions_FY25.docx (right click and select "open link in new tab")

3. Please review (Conflict of Interest Policy and Disclosure Form & Rules of Conduct).


If you have any questions regarding the form, please contact exec.office@adha.net.