2024 Application for Fellow ASHE (FASHE)

This is the official application for Fellow status with ASHE. All candidates must complete this form in its entirety, including a signature and date. Before beginning this application, make sure you have 30-45 minutes of uninterrupted time to fully complete the application. You will not have the opportunity to save your answers and return later to complete the application.


Please follow the directions as indicated and answer all applicable questions. After you have completed the application, you will be instructed to upload your supporting documentation and professional photo. All criteria for Fellow must be completed at the time of application.


You can download a copy of the Criteria for Fellow at https://www.ashe.org/designations. If you have questions, contact Tina Morton (tmorton@aha.org).


Deadline to apply: The online application and all other required documentation must be submitted by March 1, 2024.

FELLOW APPLICATION PROCESS

The application for Fellow status is divided into six (6) parts: Part 1 - Contact information Part 2 - Professional background Part 3 - Contribution to the Field Part 4 - Signature & Date Part 5 - Supporting documentation Part 6 - Submitting your application

PART 1 - CONTACT INFORMATION

Complete the information below and be sure to provide a valid e-mail and phone where you can be contacted.

Part 2 - PROFESSIONAL BACKGROUND

As a candidate for Fellow you must submit documentation to demonstrate you meet the requirements in this area. All supporting documentation must correspond to the answers, statements and/or examples you provide on this application.

ASHE membership

Candidate must be a member of ASHE in good standing with ten (10) years or more of consecutive membership (with no break in service) at the time of application. Candidate must have a recorded join date prior to January 1, 2014. Individual must obtain an official letter from ASHE that confirms years of consecutive membership.

ASHE Membership*

Verification of Senior status

Candidate must hold Senior status for three (3) years or longer. Individuals with Senior status in 2020 or prior are eligible to apply for Fellow.

Your supporting documentation must include documentation verifying your Senior status. Please indicate the year you earned the Senior designation.

Academic/professional

All certifications, designations and licenses must be current and valid at the time of application. Candidate must hold two (2) of the following:

  • Post-high school vocational/trade school diploma
  • Associates
  • Bachelors
  • Masters
  • Doctorate
  • Certified Health Care Facility Manager (CHFM)
  • Certified Health Care Constructor (CHC)
  • Other professional health care or engineering- related certifications, designations or licenses.

Use the drop down menu to make your selection

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Use the drop down menu to make your selection

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Continuing education

Document 30 hours of ASHE approved continuing education credits. Credits must be earned after achieving Senior and within three (3) years of applying for Fellow. Education must be completed after January 1, 2021.

Documentation must support the total number of contact hours you provide on this application. Please indicate the total number of continuing education hours.

Professional Resume

Applicant must be actively employed at the time of application. Candidate must have ten (10) years or more of experience in a position with primary responsibility related to the profession of health care engineering, facility management or as a health care architect or engineering consultant.

Supporting documentation must include a recent copy of your resume to demonstrate years of experience. Please indicate years of industry experience.

Part 3- CONTRIBUTIONS TO THE FIELD

NOTE: Documentation previously submitted to meet Senior cannot be re-submitted to apply for Fellow.

As a candidate for Fellow you must demonstrate your contributions to the field by providing examples of achievements and experience for ALL three (3) categories below:


1) Leadership

2) Presenting

3) Publishing


Please refer to Fellow criteria for specific examples. You will be required to submit documentation that supports the answers and/or examples provided on this application. Please indicate that you have documentation to support all three categories (Leadership, Presenting, and Publishing)

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Category #1 - LEADERSHIP

Provide two (2) different examples of Leadership experience within ten (10) years at the time of application, after January 1, 2014. Please refer to Fellow criteria for specific examples of Leadership.

Indicate position held, organization, and year. Documentation must support the answer and/or example you provide on this application. (e.g. ASHE Advisory Board Regional Representative, 2014-2016)

Indicate position held, organization, and year. Documentation must support the answer and/or example you provide on this application. (e.g. Chapter President, HESNI, 2016-2017)

Category #2 - PRESENTING

Provide two (2) different examples of Presenting. Your examples must be self-prepared original content presented to an audience of your peers at either a local, state, national or international program or conference. Both examples of Presenting must have been conducted since receiving your Senior. NOTE: Co-presenters must be involved in 50% of the presentation. Please refer to the Fellow criteria for specific examples of Presenting.

Indicate the title, date, name of program and/or event, and your role in the presentation. Documentation must support the answer and/or example you provide on this application. (e.g. Infection Control in the OR, ASHE Annual Conference, July 2014, Speaker)

Whether you are the sole presenter or a co-presenter, please indicate the estimated amount of time involved in this presentation example.

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Please give a brief explaination of your involvement/role in this presentation example

Indicate the title, date, name of program and/or event, and your role in the presentation. Documentation must support the answer and/or example you provide on this application. (e.g. Performance Management Preparing your FM Team for Success, IMFA Conference, February 2016, Co-presenter)

Whether you are the sole presenter or a co-presenter, please indicated the estimated amount of time involved in this presentation example.

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Please give a brief explanation of your involvement/role in this presentation example

Category #3 - PUBLISHING

All Publishing examples must be written by the applicant and must meet the following criteria:


Articles, white papers, or other examples of Publishing must be 800 words or more written by the applicant on a health care or engineering related topic.

Published and/or approved for publication by ASHE or national health care/engineering related publication/ organization.

All written works must list the applicant as the original author and/or contributor.

Each example of Publishing must be published and/or approved for publication within ten (10) years at the time of application after January 1, 2014. Please refer to the Fellow criteria for specific examples of Publishing.

Indicate your examples of Publishing from the drop down menu below.

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Indicate title, name of publication and date. Documentation must support the answer and/or example you provide on this application. EXAMPLE: Breaking Barriers Claiming Your Seat at the Table, Inside ASHE, July-August 2014, original article

Indicate title, name of publication, and date. Documentation must support the answer and/or example you provide on this application. EXAMPLE Documenting the PDC Process, Management Monograph, ASHE, 2018, co-author

PART 4 - SIGNATURE & DATE

Sign and date your application by indicating a check mark in the Signature box below.

I hereby certify that all statements and responses I have made in this application, and all documentations enclosed herewith, are true, accurate and authentic to the best of my knowledge. Further, I acknowledge that I have reviewed this submission for completeness and accuracy and understand that an incomplete submission will be deemed ineligible for review by ASHE. Please check the box below to serve as your official signature.

Please enter your full name as you would like it to appear in print. (include prefix, suffix, and designations)

Feel free to include any comments or other relevant information specific to your application.

PART 5 - SUPPORTING DOCUMENTATION

At the time of application, candidates for Fellow will be required to provide supporting documentation that will be reviewed by the task force in order to determine your eligibility for Fellow. The supporting documentation validates the answers and/or statements your provide on your application. To ensure a thorough review of your application, be sure your supporting documentation is compiled and organized for easy reference and verification, as indicated below: Cover Page --Full name --Company --Phone --Email Professional background --ASHE membership --Senior status --Academic/professional --Continuing education --Professional resume Contributions to the field (all categories are required) -Leadership -Presenting -Publishing Professional photo/headshot --Color high-resolution in JPG file format Once you have compiled your documentation, it should be scanned as one (1) PDF file. You will be required to upload your PDF and JPG file to complete the application process.

Required documentation

Carefully read and follow the instructions below. You will upload two (2) separate files File 1 - Supporting documentation Make sure you have compiled and scanned all documents as one (1) PDF file. File 2 - Professional photo (headshot) Your professional headshot must be a high-resolution, color photo saved as a JPG file.

To upload your documents click the "browse files" link below. Search and enter the document name from your computer hard drive or zip file. Click OK/Enter. Repeat process to upload the second file. Maximum file limit (total of both files) should not exceed 30MB.

Drag and drop files here or

PART 6 - SUBMITTING YOUR APPLICATION

Please review the following before submitting your application:


--You are responsible for the accuracy and completeness of this application.


--Make sure you have completed the application in its entirety.


--Review your answers.


--Check to see you have properly uploaded your supporting documentation and photo.


--Make sure your application is signed and dated.


--Be sure to check the box marked " Send me a copy of my responses" and enter a valid email address, so you can receive a copy of this application for your records.


--When you are ready click "SUBMIT". You will get a notification of receipt via e-mail.


Individuals approved for Fellow status will be notified by June 16, 2023. Other applicants will be notified by June 30, 2023.


If you have questions OR if you have any changes and/or additions to your application after it has been submitted, contact Charmaine Osborne at cosborne@aha.org for further instructions.


Thank you.

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