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National Academy of Neuropsychology

2025 Fellow Application

Thank you for your interest in applying for Fellow status.

In addition to the questions below, you will need three letters of support to upload here in this application. It is recommended that you wait until you have your three letters of support before completing and submitting the application below. Once you submit, you are not able to edit your responses and would have to resubmit your application in its entirety.

Though not required, the review committee favorably views letters of support by NAN Fellows, because they represent peer review.

Applications that indicate "see CV" will not be eligible for review. Please input responses for each question to facilitate the review process.
Name:(Required.)
Address:(Required.)
Member of NAN since:(Required.)
Educational History
Degree:(Required.)
Date of Degree:(Required.)
Degree-Granting Institution:(Required.)
Post-Doctoral Training:(Required.)
Dates of Post-Doctoral Training(Required.)
Institution & Department of Post-Doc:(Required.)
Professional History
Current Position:(Required.)
Professional Honors/Awards/Recognition:(Required.)
Please upload your current curriculum vitae.(Required.)
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Fellow status in NAN is awarded to an individual who has made a significant contribution in one or more of the following areas: scientific and scholarly publications, teaching, volunteering in NAN or other advocacy activities, significant activities contributing to the advancement of the profession of neuropsychology, and clinical excellence.  Please list your contributions below so we may evaluate your contributions in all areas.
Please List Outstanding Contributions:
Scientific:(Required.)
Number of neuropsychology related peer-reviewed publications:(Required.)
Number of neuropsychology related books and/or book chapters:(Required.)
Teaching/Supervision:(Required.)
Clinical Practice:(Required.)
Professional Leadership/Contributions to the Advancement of the Profession:(Required.)
Service to NAN/Advocacy Efforts:(Required.)
Please include a list of references (in APA format) of what you feel are your ten most important neuropsychology publications.(Required.)
Sponsors:
Sponsor 1(Required.)
Please upload letter of support from Sponsor 1.(Required.)
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Sponsor 2(Required.)
Please upload letter of support from Sponsor 2.(Required.)
No file chosen
Sponsor 3(Required.)
Please upload letter of support from Sponsor 3.(Required.)
No file chosen