SHA MEMBER'S PORTAL

JOIN THE SHA BOARD OF DIRECTORS

The SHA is seeking passionate and dedicated industry leaders to serve on our Board of Directors. As a board member, you’ll play an active role in guiding the direction of our organization, shaping future initiatives, and helping advance SHA’s mission to support and connect professionals across the health subrogation industry.

If you are committed to collaboration, innovation, and professional excellence, we invite you to apply by completing the form below. Applications will be reviewed by the current SHA Board, and final selections will be made following a thorough evaluation of each candidate’s experience, involvement, and alignment with SHA’s goals.

Application Deadline: Thursday, November 13th, 2025

Thank you for your interest in serving on the SHA Board of Directors and for your continued support of the SHA community.

Board Application Form

SHA BOARD APPLICATION FORM

The SHA Board will carefully review all applications and reach out to applicants once final selections are made. Please complete the information below to submit your application. Thank you for your time and interest.

1. Basic Information

First name

Last name

Title

Organization / Employer

Email Address

Phone Number

2. Current SHA Involvement

Are you currently a member of SHA?

Yes

No

How long have you been involved with SHA?

List any SHA committees, events, or initiatives you’ve participated in. (1-2 sentences)

3. Professional Background

Briefly describe your professional background and areas of expertise. (2-3 sentences)

4. Other Professional Affiliations

Please list any professional organizations you are currently or have previously been involved with.

For any of the listed groups, please identify committees on which you have served and briefly describe your role. (1-3 sentences)

5. Interest in Serving

Why are you interested in serving on the SHA Board of Directors? (2-4 sentences)

What skills, perspectives, or experiences would you bring to the SHA Board? (2-4 sentences)

6. Availability & Commitment

Are you able to commit to attending bi-monthly board meetings?

Yes

No

Are you willing to actively participate on at least one committee or initiative?

Yes

No

7. Additional Comments (Optional)

Is there anything else you’d like the selection committee to know?

8. Signature & Date

Signature

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Submission Date

Month

Day

Year