Application Form for ACRO Fellowship

  • In this form, you will need to submit two (2) letters of recommendation, proof of board certification, and a current CV to the ACRO Fellowship Committee no later than December 4, 2020.

    Please Note: Nominees for ACRO Fellow status must register for the 2021 Virtual Annual Meeting February 24-27, 2021, and be present at the convocation/installation ceremony on Saturday, February 27.

  • Demographic Information



  • Schooling and Training


    Residency Training


  • Enclosures

    Application will not be accepted without the following enclosures:
  • Board Certification

  • Accepted file types: pdf, jpg, png.
  • Accepted file types: pdf, doc, docx.
  • Letters of Recommendation


  • Accepted file types: pdf, doc, docx.
  • Accepted file types: pdf, doc, docx.
  • Examples: exemplary attendance at annual meetings, service on committees, service as an ACRO accreditation chart reviewer, research grants, publications, contributions to patient care, teaching awards, other awards unique to the field. (Please attach proof if applicable, use additional page if necessary).
    DatesAccomplishments/Service to the College