The title of Fellow of the American Society of Neurorehabilitation (FASNR) is reserved for individuals who have contributed significantly to the field of Neurorehabilitation, & also to the American Society of Neurorehabilitation.

Use the form below to nominate someone for this award. Self-nominations are accepted.

Fellow of ASNR Nomination

Nominee Name *

Nominee Address *

Nominee City *

Nominee State/Province *

Nominee Postal Code

Nominee Country *

Nominee Email *

Please upload a PDF of the nominee's CV/resume: *

Provide a detailed narrative of the nominee’s contributions to Neurorehabilitation and the American Society of Neurorehabilitation (Maximum of 2,000 characters): *
(Maximum characters: 2000)
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List any other information that encouraged you to nominate this person for the award (Maximum of 2,000 characters):

Nominator Contact Information:

Nominator Name *

Nominator City *

Nominator State/Province *

Nominator Zip Code *

Nominator Country *

Nominator Email Address *

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