2018 ISSTD Fellow Status Endorsement Form
This form is to be completed by individuals supporting the nomination of an ISSTD Fellow status candidate. Please elaborate in detail on two or more of the categories noted below. Be specific and cite examples of time-frames for each category.

Visit http://tinyurl.com/ISSTDFellowsList for further information about ISSTD Fellows status and a list of current ISSTD Fellows.

Questions? Please contact ISSTD Headquarters at 703-610-9037 or info@isst-d.org

Name of ISSTD Fellow Candidate you are endorsing: *
Your answer
Please indicate area of work in which this candidate has contributed. *
At least 2 of the following must be checked:
Supporting Details: *
Please elaborate here on the areas in which you are recognizing this candidate.
Your answer
Your full name and email address. *
Your answer
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