I Hereby submit the following application in support of my nomination for the Fellow of AOAC INTERNATIONAL Award.

ACTIVITY OR VOLUNTEER ROLE

1.     INTEGRATED SCIENCE PROGRAMS & WORKING GROUPS

Have you ever served as a Participant of an Integrated Science Program and/or Working Groups? Yes or No? If yes, please list the committee(s) and all that apply. Please include the number of year(s) served. 

 2.     OFFICIAL METHODS OF ANALYSIS PROGRAM

Have you served on an Expert Review Panel or participated in Methods Approval? Yes or No? If yes, please indicate which roles(s) and year(s).  

 3.     METHOD PROGRAMS

Have you ever submitted a method for review in the methods programs? Was the method(s) approved? Yes or No? If yes, please list the method(s) and the program(s) and all that apply.  Achievement/Output (i.e. methods reviewed/adopted as Offical First Action)

4.       RESEARCH INSTITUTE (RI)

Have you ever served in a volunteer capacity on the Research Institute? Yes or No?  If yes, please indicate the role(s), and year(s) served.

5.   LABORATORY PROFICIENCY TESTING PROGRAM (LPTP)

Have you ever served in a volunteer capacity on the Laboratory Proficiency Testing Program? Yes or No?  If yes, please indicate the role(s), and year(s) served.

6.      SCIENCE PROGRAM DEVELOPMENT ACTIVITIES

Have you ever served on any AOAC Special AdHoc Committees(s)? Yes or No? If yes, please indicate which role(s) and year(s) served.

7.     ANALYTICAL SOLUTIONS FORUM (ASF)

Have you ever served in a leadership capacity or volunteered on any Analytical Solution Forums? Yes or No?  If yes, list the committee(s), role(s) and year(s) served.

8.     OFFICIAL METHODS BOARD

Have you served on the Official Methods Board or participated in Methods approval? Yes or No? If yes, please indicate which role(s)

9.     TECHNICAL DIVISIONS – TDLM AND TDRM

Have you ever served in a volunteer capacity on any Technical Divisions or Science Program Training Course? Yes or No? If yes, please indicate which role(s)

10.     PUBLICATIONS

Have you ever participated/volunteered or been a Journal Peer Reviewer for the Journal of AOAC INTERNATIONAL? Yes or No? If yes, please indicate which role(s)

11.     PROGRAMMING, AWARDS, AND EDUCATION

Have you ever served in a volunteer capacity or received any awards from AOAC INTERNATIONAL? Yes or No? If yes, please indicate which role(s)

12.     AOAC GOVRENANCE BOARD & COMMITTEES

Have you ever served on any AOAC INTERNATIONAL Official Board(s) or Committees? Yes or No? If yes, please indicate which role(s)

13.     AOAC MEMBERSHIP, SECTIONS & COMMUNITIES

Have you ever served in a leadership capacity or volunteered on any Sections, Membership or Analytical Communities? Yes or No? If yes, please indicate which role(s)

14.     AOAC ANNUAL MEETING

Have you ever attended an AOAC Annual Meeting? Yes or No? If yes, please list year(s) attended.

15.  OTHER CONTRIBUTIONS

Please list any other contributions that you have made to AOAC INTERNATIONAL. (Specify the nature of such and year).

Application Submitted by:

FOR AOAC OFFICE USE ONLY: