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MEMBERSHIP CRITERIA


All applicants must be sponsored by a current TRUST member.

The sponsor must:
  • know the applicant personally,
  • and believe that the applicant will be an active participant in, and asset to, the TRUST
The applicant must:
  • be currently active in health care or a heath related field,
  • have been in an influential policy-setting or leadership position for at least one year,
  • have made a significant contribution to healthcare or a related field, and
  • be committed to the advancement of women in healthcare.
* Denotes a Required Field

* First Name:  
* Last Name:  
* Position:  
* Business Name:  
* Healthcare Affiliation:  
Make this my primary address
Business Address Line 1:
Business Address Line 2:
Business City:
Business State:
Business Zip:
Business Telephone:
Business Fax:
   
Make this my primary address
Home Address Line 1:
Home Address Line 2:
Home City:
Home State:
Home Zip:
Home Telephone:
Home Fax:
   
Sponsor Name:
Sponsor Telephone:
Sponsor E-Mail:
   
* Brief Biography, e.g. education, interests, expertise: (Max 300 Characters)  
Upload your current resume:
   
Please let us know if you are interested in supporting the trust in any of the following ways. (select all that apply):



  
   
Please enter your email address that you would like to use as your username for a login
and to recieve email communications from WHLT.
   
* E-Mail Address:  
* Confirm E-Mail:    
   
Amount Due: $150.00
   




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Women’s Health Leadership TRUST  | 3893 Danbury Trl  | Eagan, MN 55123
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