Sample Completed Fellow Application

Fellow Application -...

Questions

Section 4: Public Service

If at any point you do not have any information to enter into a question field, please write "N/A" in the relevant field(s). This will ensure to us that you have reviewed the question. Please see the bottom of this section to compile your points per question. You may use this feature to double check that you are meeting the minimum points requirements in order to be eligible for consideration (minimum of 40 points in Section 1 and minimum of 100 points total). Non-APHON state or national committee*:

List any non-APHON state or national committee or task force relevant to the specialty of pediatric hematology/oncology nursing of which you are a member. (Examples: Legislative committee or task force for state/national membership organizations, e.g., COG, ANA, NAPNAP, AAHPM, CAPC, NHPCO, PQLC, SWPN, ION, NQF, NCP, etc.) (2 points per year of service, 10 maximum points)

Organization

City/State

Term of Service

Professional honors or awards*:

List any professional honors or awards you have received relevant to the specialty of pediatric hematology/oncology nursing from sources other than APHON. (2 points per activity, maximum 6 points)

Honors or Award

Organization

Section 4 Points*:

Enter the points you have for each category in this section. The total field will automatically total after you save the page.

Non-APHON state or national committee (2 points per year of service, 10 maximum points): Professional honors or awards (2 points per activity, maximum 6 points): Total (click Save to update):

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Feb 07, 2023 9:22:35 am CDT

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