Sample Completed Fellow Application

Application Attestation I certify that the information provided in this application accurately represents my professional status and experience. Furthermore, I recognize that any falsified information may lead to the revocation of my Fellow status. I also understand that the application fee is non-refundable, regardless of the outcome of the application process. I acknowledge that Fellow status is granted at the sole discretion of the Association of Pediatric Hematology/Oncology Nurses Board of Directors and includes many variables, including but not limited to the contents of this application. By typing my name below, I am electronically signing my application, and this will be considered the same as a written signature.

Frannie APHON

Date

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