Sample Completed Fellow Application

Fellow Application -...

Questions

List if you were a recipient of an award given by APHON or ONCC*:

Please see the list of eligible awards from the list provided. (4 points per award, maximum 12 points)

Award

Year

List if you were a recipient of a scholarship given by APHON or ONCC*:

Please see the list of eligible awards from the list provided. (2 points per scholarship, maximum 12 points)

Award

Year

List research or clinical grants received given by APHON*:

(3 points per grant, maximum 9 points)

Project Title

Period of Grant Award

Section 1 Points*:

Enter the points you have for each category in this section. The total field will automatically total after you save the page. List your service as a member of the

National Board of Directors (4 points per term, if within 5 years; 3 points per term, if between 5-10 years ago; 2 points per term, if more than 10 years prior; maximum 16 points): List any service as a Local Chapter President (4 points per term, if within 5 years; 3 points per term, if between 5-10 years ago; 2 points per term, if more than 10 years prior; maximum 16 points): List service as a member (4 points per term, if within 5 years; 3 points per term, if between 5-10 years ago; 2 points per term, if more than 10 years prior; maximum 16 points): List service as APHON Committee Chair or task force chair for APHON National (4 points per term, if within 5 years; 3 points per term, if between 5-10 years ago; 2 points per term, if more than 10 years prior; maximum 16

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Feb 07, 2023 9:22:35 am CDT

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