CNSI Fellow Application | NACNS :: National Association of Clinical Nurse Specialists

Name*

First Last

Credentials

Highest degree, licensure, certification, other (e.g., MSN, RN, AG-CNS…).

Title

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer Contact Name

Employer Contact Email

Applicant Email

Applicant Phone

Applicant Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years of NACNS Membership

Applicants must be current members of NACNS and have at least two (2) consecutive years of membership immediately prior to application.

Membership Verification*

I verify that I meet the NACNS membership requirement for the last two consecutive years.

Years of CNS Experience*

Yes, I have five or more years working in a CNS role after graduate education and training.
No, I do not have five or more years working in a CNS role after graduate education and training.

Applicants must have five (5) or more years of experience working in a Clinical Nurse Specialist (CNS) role after completing graduate education and training. I confirm I have five or more years of experience working in a CNS role.

NACNS Affiliate (if applicable):

Submit Endorsement Letters (x2)*

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Max. file size: 256 MB.

Submit two (2) letters of endorsement from professional colleagues; preferably one letter from a supervisor or individual in a position to evaluate the applicant's work; the second letter should be from another peer/colleague who is knowledgeable about the applicant’s work as a CNS. Endorsement letters should address the criteria (see criteria above in #2) and be no more than 2 pages in length (signed, typed on organizational letterhead). Endorsers may only endorse two (2) applicants per year

PROFESSIONAL STATEMENT (750 words)*

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Max. file size: 256 MB.

Applicants must write a statement that provides evidence of their outstanding contributions as a CNS. The statement must address the criteria (listed in Application Instructions #2) and provide clear exemplars in support of the statement. Organize the statement using the criteria as the headings for the statement with the supporting evidence below each heading. 750 word maximum including headings.

PROFESSIONAL BIOGRAPHY (150 words)*

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Max. file size: 256 MB.

Write a concise (150 word) professional biography highlighting key accomplishments and significant milestones in your career. If the applicant is selected, this biography will be used in promotion materials. The biography should begin with the applicant’s name, current CNS role or title, and employer. Provide a summary the applicant’s outstanding contributions to the CNS practice, education, and/or leadership and include major honors and awards. 150 words maximum.

Submit Curriculum Vitea (12-pt font, single-spaced, 10 page).*

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Max. file size: 256 MB.

Provide a curriculum vitae that documents evidence of CNS leadership, practice, research, dissemination, service, and/or educational activities in support of the evaluation criteria. The curriculum vitae must include the applicant’s name, credentials (highest degree, licensure, certification(s), designation), job title, and contact information (Ex. Cherry Aims,MSN, RN, AG-CNS). The CV must include separate sections with the following headings: 1) Education (list the most recent degree first, followed by prior degrees; include, institution, degree earned, and year awarded); 2) Employment History (include employer, position, and dates of employment; do not include job duties); 3) Honors and Awards (include award title, granting organization, and year received); 4) Research/EBP/QI Projects (include project title, applicant’s role, and, if applicable, funding amount and project duration); 5) Dissemination (including full citation of publications, book chapters, and selected presentations); 6) Service Activities (organized by local, state, national, and/or international levels; include committees, projects, professional activities, and leadership roles); 7) Legislative/Regulatory Activities (include activities that promote the CNS role at the local, state, or national level).

Submit Headshot Photo*

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Max. file size: 256 MB.

Applicants must submit a high-quality color headshot (JPEG format). This image will be used in official CNSI materials if selected.

2027 CNSI Fellow Program Application