ASET Members being inducted as Fellows at the 2023 ASET Annual Conference

Fellows Nomination Form Nominations due by February 28th, 2026

Submit a candidate for Fellow

Use the form below to submit a candidate for review. Self-nominations are not accepted.

What happens next?

Your candidate will be reviewed and if the criteria for nomination have been met, your candidate will be invited to complete the Fellows Candidate Application.

Those elected to the 2026 class will be inducted at the ASET Annual Conference in Kansas City, MO.

ASET Members being inducted as Fellows at the 2024 ASET Annual Conference

Nomination Form

Part I: Nominator Contact Information

Your Name: *

First

Last

Phone:

Email: *

ASET Member ID

How to find your ASET ID...

Part II: Nominee Information

Name of Nominee: *

First

Last

Employer:

Job Title:

Phone:

Email: *

Mailing Address:

Address Line 1

Address Line 2

City

State

Zip Code

Part III: Required Documentation

Either submit or upload along with this completed online form, a brief typed statement (no more than 500 words) supporting the nomination by speaking to how the nominee meets the nomination criteria in general by having distinguished him/herself in service to ASET, service to the neurodiagnostic profession, and as an ambassador exemplifying and advancing the neurodiagnostic profession.

Provide Statement: *

Upload Statement
Type Statement