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  • Acofp Distinguished Fellow Award Application 2022

Get Acofp Distinguished Fellow Award Application 2022-2026

2022 Distinguished Fellow Award Application The ACOFP Distinguished Fellow Award (FACOFP dist.) may be conferred on founder and active members who have contributed and completed four of the five.

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How to fill out the ACOFP Distinguished Fellow Award Application online

Applying for the ACOFP Distinguished Fellow Award can be a rewarding opportunity to showcase contributions to the osteopathic community. This guide provides a clear roadmap for completing the application online, ensuring that users can navigate the process efficiently.

Follow the steps to complete your application successfully.

  1. Click ‘Get Form’ button to obtain the application form and open it in your preferred document editor.
  2. Fill in the nominee's name and AOA number in the designated fields. Ensure that all provided information is accurate to facilitate proper identification.
  3. Enter the mailing address, including city, state, zip code, and both phone and email information. This allows the committee to contact the nominee as needed.
  4. Complete the education section by listing the pre-professional colleges attended, along with the name of the school, city, state, year graduated, and degree received.
  5. Provide details for the colleges of osteopathic medicine attended, ensuring to include the name of the school, city, state, and year completed for each entry.
  6. Indicate the internship or residency programs attended, providing program names and cities to demonstrate training background.
  7. For Category One, select and document at least four contributions among the defined categories, including financial contributions, fellow sponsorship, academic service, national volunteer service, and state or local volunteer service.
  8. List attendance at a minimum of 20 ACOFP Annual Conventions or Osteopathic Medical Conventions since the Fellow induction year in the designated section, including the year of attendance.
  9. Upload the current AOA CME Activity Report and ensure that all application materials are completed as outlined in the checklist section.
  10. Once all fields are filled, carefully review the application for accuracy, save any changes, and prepare to download or print the completed application.
  11. Submit the completed application either by email or mail to the ACOFP Awards Committee before the deadline for consideration.

Start your application online today to take a significant step toward becoming a Distinguished Fellow.

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The designation of Distinguished Fellow is awarded by the ICDD Board of Directors to certain members, currently recognized as Fellows, who have given long and meritorious service to the ICDD.

The designation, Fellow of the American College of Osteopathic Family Physicians (FACOFP), signifies the recognition of the member's experience, dedication, and contributions of the highest order to the advancement of family practice by his/her peers.

The award recognizes individuals who have made significant and lasting contributions to SOPHE and the profession of health education or public health. A SOPHE Distinguished Fellow has: Made significant contributions to health education and health promotion.

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