Trustee Registration

Are you interested in serving as a hospital or health system trustee? The American Hospital Association presents the Hospital Trustee Professionalism educational series, developed in partnership with the Center for Healthcare Governance and the Institute for Diversity in Health Management. The program is designed to prepare participants from a diverse range of backgrounds for board service. The curriculum includes examination of the basic principles by which a hospital board operates, including the trustee's role and responsibilities and the board's role in setting strategy and determining policy, as well as the unique challenges faced by health care governing boards. More Information on the Program
Registration Information:
Program Date:
First Name:
Middle Initial:
Last Name:
Nickname: (to appear on badge)
Address:
City:
State:
Zip:
Phone:	xxx-xxx-xxxx
Fax:
Email:
Current Title:
Organization Name:
How did you hear about us?:

Minority Trustee Candidate Registry:
The AHA, along with its Institute for Diversity and Center for Healthcare Governance, sponsors a publicly available Web-based registry of Minority Trustee Candidates to be used by hospitals and health systems to recruit new board members. Minority candidates who complete the Hospital Trustee Professionalism program are eligible for inclusion in this registry. Please complete the form below if you wish to be included in the Minority Trustee Candidate Registry.
Primary Industry:
Primary Area of Expertise:
Photo*
Documentation*

* If submitting photo, please send in JPG or GIF format. Must be at least 300 DPI. Must be submitted as separate attachment. Note: Photos in CV, Bio, Resume, or body of e-mail will not be included. CV, Bio or Resume must be submitted as a separate attachment as either a Word or PDF file. You will receive further instructions in your confirmation email. Please note the following: By submitting this information, you give your consent to have your name and documentation listed in the online registry.**