Emerging Leaders Program Application

Thank you for your interest in the Health Leadership Academy’s Emerging Leaders Program. Any questions about the program or application process can be directed to Laura Smith at smithl86@mcmaster.ca.


    Personal Information

    How do you identify?




    Academic Information [if applicable]





    Employment Information [if applicable]

    Current Employment



    Preferred 2021 Program

    Written Responses


    Have you taken a program with the Health Leadership Academy before?



    How Did You Hear About Us?



    References

    Please provide references that can speak to your leadership capability and success either personally or professionally.

    Reference 1






    Reference 2






    Resume

    * Please attach only docx or pdf files.

    Applicants will be asked to participate in a personal interview. Those moving to the interview stage will be contacted directly.