Application form
The Lebanese HealthCare Management Association (LHMA) is a professional not-for-profit association, duly registered in Lebanon. It purports to be an association for health care professionals who are working in health care management facilities and programs. LHMA will expand all necessary efforts towards its goal of improving the health status of the population by advancing health care education, leadership and consultation. The LHMA aims to become the platform for discussion of health systems in Lebanon and to propose recommendations for development and reform; in brief the “Cenacle Libanais” for Health Affairs.

Email *
First (given) name الاسم الأول *
Last (family) name اسم العائلة *
Age عمر *
Company مكان العمل *
Type "Self employed" or "None" if not employed
Self Employed العاملين لحسابهم الخاص
Area of Expertise مجال الخبرة
Current title الوظيفة الحالية *
Type "None" if not employed
Career Level المستوى الوظيفي
Clear selection
Nationality الجنسية *
List one or more: Lebanese, ...
Address العنوان *
Street name
City المدينة *
Country of residence دولة الاقامة الحالية *
Mobile Phone الهاتف الجوال *
Please add the country code starting with 00+Country Code+number
Fixed Phone الهاتف الأرضي
Please add the country code starting with 00+Country Code+number
Contact Information and Social Networks معلومات الاتصال والتواصل الاجتماعي
Do you use any of the following social media? هل تستخدم أي من وسائل التواصل الاجتماعي
Select if you agree to share the following contacts with other members of the network? هل توافق على مشاركة أي من وسائل الاتصال التي زودتنا بها مع الأعضاء الآخرين في الشبكة؟
If you select to share your information, it will only be shared with members of the network.
Short biography ملخص السيرة الذاتية
optional
Areas of interest in LHMA *
Required
Areas of Interests for news or activities
Interested in which type of membership *
If you are a student, you will be required to submit a copy of your student ID
Privacy
All the collected information will be used for the review of your application by designated committee members.
The personal information collected, including your mobile number and e-mail shall not be shared except to carry out services you have requested.
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