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Application: Distinguished Fellow

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Member Price$100.00

New Member Price$100.00

Membership Description

Application for Distinguished Fellows

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If you experience issues with your online application, please email Ashley Peter at apeter@amrms.com or call 859-514-9174

Membership InformationThis is a Calendar based MembershipMembership Term Effective Date:12Expiration Date:4/19/2024Referred By:12/31/2024

Additional Information:

All Fellow applications will be considered for Professional Membership, if they do not qualify for Fellow member status. Please check here if you do not wish to be considered for Professional Membership.:Please provide the name of the current NAP member who nominated you:Application Submission Type:To what Academy are you applying?Professional Degree Grad Year:Highest Degree:Year of Licensure (YYYY), if not applicable please enter NA:Designation/Credentials:Do you support NAP's Statement of Values?Are you a US citizen?

Date joined current practice, if applicable:Structure of your practice, if applicable:Do you practice (FT/PT), if applicable:Practice is Interdisciplinary?