Application for HBA Fellowship: 2019 Rochester, NY

Selection Criteria

The purpose of the selection process is to build classes with individuals that represent the diverse backgrounds and can bring different experiences and points of view to the class.

Individuals should have a minimum of 5 years of work experience of at least 2 years in some segment of the healthcare industry, including: payers, providers, and employer benefit executives, educator.

Our selection process seeks to find individuals who are senior leader in their organization or in the community.

Application Instructions

Applications must be completed in full. There are three ways to submit:

  1. Preferred option: complete online (below)
  2. Contact Lisa Smith at
  3. Print and mail the printable application

There is limited seating and a rolling admission policy. You will be contacted within two weeks of your application being received. Submissions will be accepted until the class if filled but no later than January 31, 2019.

Cost to attend the HBA Fellowship Program is $5,000.

* This Field is required indicates a required field

Contact Information

Optional Information

Participants are required to:
  • Attend and actively participate in the all of workshops and complete any required pre-work.
  • Participants who fail to fulfill their obligations will be asked to withdraw from the program. Fees will not be refunded.
  • Please attach a personal photo headshot (above) that can be included on the graduation plaque and the class list. If you prefer to opt out and not be included please send Ken an email at
  • Please provide any dietary restrictions and allergies
  • Please indicate how would you like your name to be printed on your name badge.
  • Please tell us what you hope to get out of the Fellowship Program

Employer/Sponsor Commitment (If Applicable)

This application has the approval of this organization and the applicant has our full support, if accepted, to devote the time required to participate in the program.

Full financial sponsorship of a candidate is $5,000 and needs to be paid by January 15, 2019. I understand the tuition is non-refundable.

Payment Information
Credit Card Purchase Order