2026 ON DPG Distinguished Practice Award Application
Please complete the following application by May 15, 2026.
Name
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First Name
Last Name
Academy ID Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please answer the following questions:
How many years have you been a member of ON DPG?
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Describe your professional responsibilities in the field of oncology nutrition and list the number of years in the profession.
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Please list your professional accomplishments in oncology nutrition through teaching, training, clinical experience, entrepreneurship, policy-making, and credentialing.
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Please list any publications you have been involved with (peer reviewed manuscripts you have been involved with in the last ten years) including journal articles, abstracts, textbook chapters, and research projects.
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Please list any presentations you have delivered at local, national, and international meetings in the last ten years.
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Provide an overview of how your leadership has promoted the advancement of excellence in oncology nutrition through participation in activities such as volunteer work, committees, dietetic practice groups, state or local dietetic associations, or other oncology organizations.
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Provide any other activities you have been involved with that impact oncology nutrition practice.
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Please attach a recent CV that includes your presentations and publications from the past 10 years.
*
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Please attach a letter of recommendation.
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