AAWR Fellow Application Form 2026

AAWR Fellow Application Form 2026

Submit your nomination details and required CV and endorsement letters by August 1, 2026.
Date Submitted

MonthDayYear
Date
Candidate Name
Credentials
Institution Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is the above your work or home address?
Email address
example@example.com
Member of AAWR since (Year)
How many years of AAWR sponsored activities have you attended?
Name of First Supporting AAWR Member (Full Name/Title)
Name of Second Supporting AAWR Member (Full Name/Title)
Primary Radiology Specialty
Service to AAWR and/or Organized Radiology/Medicine (Check all that apply)
Outstanding Teaching of Radiology (Check all that apply)
Significant Scientific or Clinical Research in Radiology and/or Significant Contributions to Literature (Check all that apply)
Please Upload CV and Letters of Endorsement

Cancelof
Should be Empty: