Fellow of the ISN Application Form

Fellow of the ISN (FISN)

Apply now to be a FISN
Contact Information
Full Name

First NameMiddle NameLast Name
E-mail
example@example.com
Country of Residence
Birth Date

MonthDayYear
Gender
To meet this condition, members must have 5 years of active membership within the past 7 years. We do not accept bulk payments for past or future years. If you're unsure of your membership history, please contact us at membership@theisn.org
Please confirm that you are a member of the ISN for at least 5 out of the last 7 years (Memberships with terms extending beyond the application date will not fulfil the membership condition).

Professional Information

For leadership positions within the ISN, no additional documentation is required
Please provide a summary of at least 5 years of professional experience in nephrology or related fields. For example "I have been teaching and researching at the university hospital..."

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Please choose at least two categories in which you have proficiency in the field of nephrology. For more information please visit www.theisn.org/fisn.
Proficiency Categories
For each chosen categories, please provide a brief description of your proficiency. Please also upload documents in support of each of the selected categories such as certificates of awards or grants, citations for published papers, letters of recommendation or similar.
Research: Please provide a brief description of your proficiency in the chosen category of Research. For example, "In (year), I was part of a group that received a grant from (organization), towards studying (area). My involvement in this projects was ...", and/or, “I wrote an article about (area), entitled (title of article) authored by me and (name of other authors) and published on (date, volume, etc.) in (journal name)".

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Please upload documents in support of Research. For example: grant award letter, full citation for journal article. If the document is not in English, please send translation or small description in English of the content of the document.

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Teaching: Please provide a brief description of your proficiency in the chosen category of Teaching. For example, "I am currently a professor at the medical university of (name of university) teaching a course on (name of course) onsite to medical students. I also teach an online class on (name of class) to nurse students at this (name of university) and " I was the thesis advisor to 3 students. The students’ thesis topics are: (name of each thesis). The theses were presented on (dates of presentations), at the university of (name of university)…”

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Please upload documents in support of Teaching. For example: letter from university confirming teaching appointment and term. If the document is not in English, please send translation or small description in English of the content of the document.

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Service: Please provide a brief description of your proficiency in the chosen category of Service. For example, "I have been working as a nephrologist at (name of organization) since (year), and, “I am the chief of the department of nephrology at the (name of organization). I have been working as chief of department since (year). The department has (X) number of staff. My role as chief of department includes undertaking (list main activities)”.

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Please upload documents in support of Service. For example: letter from hospital confirming position and term. If the document is not in English, please send translation or small description in English of the content of the document.

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Other contribution to specialty: Please provide a brief description of your proficiency in the chosen category of Other contribution to specialty. For example, "In the past year, I was the lead author of new best practices on (name of best practice area) that have now been approved by the regional government for use in all dialysis centers”, or “I was the chair of (name of committee, working group, etc.). As a group, we achieved the following targets: (name achievements)”.

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Please upload documents in support of Other contribution to specialty. For example: letter from organization confirming your leadership position on committee or working group. If the document is not in English, please send translation or small description in English of the content of the document.

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Please upload your Curriculum Vitae

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ISN Members References

References from two current ISN members. Please indicate reference names below. By doing so, you confirm you have contacted and sought approval from these members to be your references.
ISN Member Name 1
Email
example@example.com
ISN Member Name 2
Email
example@example.com

Please indicate that all the information shared with us is accurate and current. In case that any of the shared information is not correct, ISN reserves the right to remove FISN title.
A candidate for FISN designation is required to be an ISN member at the time of application. Membership status must remain active to avoid an interruption in FISN status. If an interruption occurs, the fellow must reapply.

Application fees are not refundable after submission of this form

To verify your income country classification, please click here

For payment issues, contact us at info@theisn.org
I understand that the application fees are administrative handling fees and are non-refundable once this form has been submitted, regardless of the outcome of my application.

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