I am applying for *

Enter required value AAP Fellow Designation AAP Distinguished Fellow Designation

First Name *

Last Name *

Address Line 1 *

City *

State *

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Postal Code *

Phone *

Email *

I have been an active member during the following years (minimum 5 years): *

I have attended the following three (3) AAP annual meetings *

List at least three (3) years. Includes one in the last three (3) years

I have served on the following AAP committees for a total of at least three (3) years *

List committees and years served. Must include three (3) years served.

Committee Name *	Leadership Role *	Years Served *
			Del

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Here are examples of my ongoing, active participation in psychiatric education: *

Personal Statement *

Personal statement (no longer than three pages) reflecting upon your educational life mission and demonstrating ongoing contributions to psychiatric education.

Uploaded as a .pdf file.

20MB max

Current curriculum vitae *

File upload of .pdf file.

20MB max

Submit Application for AAP Fellow Designation *

Clicking Yes will complete your submission for  AAP  Fellow Designation

I have been an active AAP member during the following years (minimum 10 years) *

I have attended the following five (5) AAP annual meetings *

List at least five (5) years. Includes one in last three (3) years.

I have served on the following AAP committees for a total of at least seven (7) years *

List committees and years served. Must include seven (7) years of committee service.

Committee Name *	Leadership Role *	Years Served *
			Del

Add row

Here are examples of my ongoing, active participation in psychiatric education: *

Personal Statement *

Personal statement (no longer than three (3) pages) reflecting upon your educational life mission and demonstrating ongoing contributions to psychiatric education.

Upload as a ,pdf file.

20MB max

Current curriculum vitae *

Upload .pdf file

Submit Form for AAP Distinguished Fellow designation. *

Clicking Yes will complete your submission for  AAP Distinguished Fellow Designation.