Leaders in Fitness Training /
12472 Lake Underhill Rd, #341 Orlando, Florida 32828 / TEL: 800-227-1976
CONFIDENTIAL FELLOW NOMINATION FORM
(Enclose with a letter of recommendation)
Complete and return to Chuck Krautblatt at IFA Certifications
(Please submit in typewritten or electronic format. The form is available at the IFA website
Name of Nominee
Position
Company
Address
City
Province/State
Postal Code
Country
CI Number
Nominated BySignature
REFERENCES
Tester: / Date:Name:
Address:
City: / State/Province: / Zip:
Home Phone: / Work Phone:
Email:
Tester: / Date:
Name:
Address:
City: / State/Province: / Zip:
Home Phone: / Work Phone:
Email:
Tester: / Date:
Name:
Address:
City: / State/Province: / Zip:
Home Phone: / Work Phone:
Email:
Tester: / Date:
Name:
Address:
City: / State/Province: / Zip:
Home Phone: / Work Phone:
Email:
FELLOW NOMINATION FORM
CITATION: A description of the Nominee’s outstanding technical accomplishments.
In 50 words or less describe the Nominee’s specific, verifiable accomplishments. No bulleted lists, please. The Citation should succinctly describe the unique, significant, and innovative technical accomplishments of the Nominee. These accomplishments must be supported by tangible, verifiable evidence.
EXAMPLE CITATIONS:
Listed below are examples of Citations to assist you when preparing the Citation for your nominee.
Dr. John Doe is recognized for pioneering exercise science research. He showed that using specific stretching exercises enhanced sports specific activities. Also, he defined the periodic rest intervals specific to workout strategies.
And
Professor John Doe’s outstanding effort in the application of novel training methods based on biomedical diagnostics to enhanced the training effect in sports specific activities.
Nominating for IFA Fellow
To help you state your Nominee’s background properly consider the following points:
Fellow grade is awarded based on achievements by the candidate in bringing about meaningful advances in technology or concepts in the fields of fitness and health.
The personal nature of the Nominee’s achievements should be emphasized.
Non technical contributions should be included in the Citation only if they are of extraordinary significance.
FELLOW NOMINATION FORM
QUALIFICATIONS AND BACKGROUND
Attach additional sheets if necessary
The Nominee’s Qualifications for Fellow
Describe the Nominee’s specific accomplishments and the significance of these accomplishments to the arts, sciences and technologies of the fitness or heath related fields. These accomplishments must be supported by individuals familiar with the nominee’s body of work, and by the nominee’s publications, patents, honors and awards. Please be complete yet concise.
Publications that directly support the Citation (articles, technical papers and books – titles, where published and presented). Please provide a complete list.
FELLOW NOMINATION FORM
QUALIFICATIONS AND BACKGROUND
Attach additional sheets if necessary
Other publications unrelated to the Citation - Please provide a complete list.
Patents that directly support the Citation - Please provide a complete list.
Other patents unrelated to the Citation - Please provide a complete list.
FELLOW NOMINATION FORM
QUALIFICATIONS AND BACKGROUND
Attach additional sheets if necessary
Honors and awards that directly support the Citation (honorary degrees and special recognitions, including honors
and recognitions awarded by the nominee’s employer) – Please provide a complete list.
Honors and awards unrelated to the Citation – Please provide a complete list.
Work Experience (List principal positions held, responsibilities and organizations, including dates and membership
and service in Technical and Professional organizations in this area)
Education (List highest degrees earned, indicating institution, majors and dates)
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