Submitting a Reference for Advancement to Fellow

Thank you for your support of the healthcare management field by taking the time to review the candidate who has applied to advance to Fellow. Please keep in mind while completing this reference form that ACHE is interested in learning of the candidate’s professional reputation for competence, judgment, integrity and ethics.

Please note: While you may choose NOT to endorse the candidate's application for Fellowship, the candidate will be informed of your decision if requested.

Your reference form can be submitted using the online form below, or you may mail or fax a PDF.

There are two types of references:

Structured Interview Reference
• Must be from a current Fellow

Fellow or Senior-Level Executive Reference
• Must be from a senior-level executive (VP or higher) in your organization, OR a second Fellow

ACHE Advance To Fellow

Advance To Fellow

Submit your reference online

Please describe how you know the candidate.

Required

What are the candidate’s responsibilities in the organization ?

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The candidate must have five years of executive healthcare management experience to be eligible for Fellow status. Does the candidate meet this definition?

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Click here to see healthcare management definition.Required

Please provide your rationale.

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Do you recommend this candidate for Fellow status in the American College of Healthcare Executives?

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I have conducted a structured interview of this candidate?

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Candidate Information:

Candidate Name:

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Candidate Title:

Candidate Organization:

Candidate City:

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Candidate State/Province:

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Candidate Country:

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Your Information:

Name:

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Your ACHE Member ID:

Title:

Organization:

City:

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State/Province:

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Country:

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Email:

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