Sample Completed Fellow Application

Fellow Application -...

Questions

Section 2: Certification, Presentations, Publications, and Research

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). Certifications*: List currently held ONCC Certification(s), including CPON ® , CPHON ® , or BMTCN ® . (3 points per certification, maximum 6 points)

Credential

Year Earned

List abstracts presented as posters/papers at an APHON Annual Conference*:

(1 point per presentation, maximum 6 points)

Title

Meeting

Month/Year

Preconference*:

List preconference and concurrent sessions given at an APHON Annual Conference or other peer-reviewed forums. (1 point per presentation, maximum 6 points)

Presentation Title

Meeting

Month/Year

Presentations*:

List presentations at an APHON Local Chapter Education Meeting or other local or regional peer-reviewed forums. Industry-sponsored presentations are excluded. (1 point per presentation, maximum of 8 points)

Presentation Title

Meeting

Month/Year

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