For assistance with this form, please contact Hazel Iglesias at hazel.iglesias@aphon.org.

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* 1. FAPHON Candidate Name (First and Last Name)

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* 2. Reference Information

Reference Qualifications

At least one of the two required recommendation letters must be authored by an APHON member.

Those writing letters of recommendation should state how long they have known the applicant and in what capacity.

Professional peers should be chosen who know the applicant’s work well enough to verify and provide exemplars about the applicant’s strengths, contributions, and impact on the field of hematology/oncology nursing.

(No one person may write more than two letters a year for applicants. Members of the Professional Development Committee or the Board of Directors are not eligible to serve as a reference.)

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* 4. Connection to the FAPHON Candidate (select all that apply)

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* 5. In what capacity and for what length of time have you known the candidate?

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* 6. Upload your reference letter.

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