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Fellow of AAHB Application Form

This form is for current members (for at least three years), who wish to become a Fellow of AAHB. Note that in addition to submitting this online form, you must forward a copy of your vita using the link provided below.

The deadline for applying is October 1 of each year. If approved, you will be officially inducted at the next Scientific Meeting of the Academy.

Member Information

Name:		Title:
Position/Job Title:
Organization:
Address1:
Address2:
City:		State/Country:
ZIP:
Phone:		Email:
All Advanced Degrees:
Work Activity:	Fill in a percentage next to each activity. The total should equal 100%. Administration Clinical Research Supervision/Training Teaching Other: 100%

Fellow Qualifications

Fellow applicants must have authored or co-authored at least 50 refereed research papers. Only original, data-based qualitative or quantitative research, data-based literature reviews, research syntheses or research theory papers qualify. They must have been published in a national or international journal that regularly reports the findings of original health behavior, health education or health promotion research.	I meet this requirement.
Name two AAHB Academy Members who are familiar with your work:
Fellow applicants must also meet a minimum of one of the following categories. Check all that apply. Presented at least 75 scientific papers at national or international professional meetings. Received at least 25 external research grants as a principal or co-principal investigator. Received at least $1.5 million (US $ equivalent) in external research grants as a principal or co-principal investigator. Contributed significantly to the advancement of knowledge in health behavior, health education, or health promotion through research conducted and disseminated of such magnitude as to equal any of the other categories above. (Provide explanation below.)

IMPORTANT: Click here to create an email that can be used to submit your vita in electronic form. Once the email is opened, attach a document (e.g., a Word or PDF file) containing your vita. Send the email with the attachment. Applications cannot be processed without a copy of your vita.

Please click only once on the Submit button. A confirmation page will be displayed.

The American Academy of Health Behavior