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Applicant: Distinguished Scholar & Fellow

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Membership Description

Application for Distinguished Scholar & Fellow

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If you experience issues with your online application, please email Jami Cowell at jcowell@amrms.com or call 859-402-9810.

Membership InformationThis is a Calendar based MembershipMembership Term Effective Date:12Expiration Date:5/3/2024Referred By:12/31/2024

Additional Information:

To what Academy are you applying?Professional Degree Grad Year:Highest Degree:Year of Licensure (YYYY), if not applicable please enter NA:Do you support NAP's Statement of Values?Are you a US citizen?Structure of your practice, if applicable:Date joined current practice, if applicable:

Do you practice (FT/PT), if applicable:Practice is Interdisciplinary?