Sample Completed Fellow Application

23. List any service as a content reviewer of publications not produced by APHON but related to the specialty of pediatric hematology/oncology nursing, including electronic media. List Titles in APA 7 th Edition Format (1 point per instance, maximum 4 points) 24. List if you have served as an editor or on an editorial board for peer-reviewed journals other than JOPHON , which are relevant to the specialty of pediatric

hematology/oncology nursing. (2 points per publication, maximum 8 points)

Publication

Role

Start/End Date

25. List research or clinical grants received relevant to the specialty of pediatric hematology/oncology nursing. (3 points per grant, maximum 9 points) Project Title Granting Agency Project Dates

Section III Service Through Teaching/Mentoring

26. List any service precepting interdisciplinary learners with direct supervision provided to a student enrolled in a formal accredited academic healthcare education program. The precepting should be in a one-on-one relationship with specific goals to learn information about the specialty of pediatric hematology/oncology care and the role of the disciplines involved. One-day shadowing experiences will not be accepted. A minimum of 25 hours is required. (3 points per preceptorship, maximum 12 points)

Student Academic Level School/Program

Dates

BSN student

U of Illinois U of Illinois

2018-2019

MS/PNP student (X2)

2020 and 2021

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