Nominate a Distinguished Leader

Apply for, or nominate a distinguished individual for, an ACCPHE Council Fellowship, Professional Certification or Distinguished Council Recognition.

All fields marked * are required.

Recognition sought

I am applying for myselfApply for a fellowship, certification or distinction.I am nominating someoneNominate a distinguished scholar, educator or leader.

Fellowship, certification or distinction sought *

The nominee

Nominee’s full name *Current position or title *Institution or organizationCountry *Nominee’s emailProfessional profile or website

Summary of qualifications and contributions *Explain why the nominee merits this recognition, with verifiable achievements.

About you (the nominator)

Your full name *Your position and relationship to the nomineeYour email *Your telephone number *

Supporting evidence

Curriculum vitae and supporting documents (optional now)PDF preferred. Up to 3 files, 4 MB in total — for example a curriculum vitae and a list of publications. The Secretariat will request the full evidence after reviewing the submission.

Declarations *I declare that the information submitted is accurate and complete to the best of my knowledge, and that achievements described can be independently verified.To my knowledge, the nominee is of good professional and ethical standing, and I am not aware of any unresolved matter concerning their professional conduct.I understand that recognition is not automatic, that payment of any fee does not guarantee approval, and that the College’s distinctions are not academic degrees, professional licenses, governmental endorsements, or institutional accreditation.I acknowledge that the information provided will be processed by the ACCPHE Secretariat in accordance with the Council’s privacy policy.