RAPS FELLOW RECOMMENDATION FORM You have been selected by a RAPS Fellows applicant to submit a letter of recommendation on his or her behalf. The RAPS Fellows Program recognizes senior regulatory professionals for their continued significant contributions and leadership in the advancement of the profession and the professional. Fellow members will receive a dignified status and special services. Fellows will be an important resource for strategic exploration, mentoring, implementation of special initiatives and international development. Instructions Please complete, sign and return the recommendation form below to the Fellows applicant no later than 13 July 2015. Fellow Nominee Information Name of Nominee: Click here to enter text. Your Relationship to the Nominee: Click here to enter text. How many years have you known the Nominee? Click here to enter text. Nominator Information RAPS Member ID# (if applicable): Click here to enter text. ☐ Mr. ☐ Ms. ☐ Dr. Full Name: Click here to enter text. Title: Click here to enter text. Organization: Click here to enter text. Address: Click here to enter text. City, State/Province: Click here to enter text. 1 Mail Stop: Click here to enter text. Postal Code: Click here to enter text. Country: Click here to enter text. Phone (with area/country code): Click here to enter text. Email: Click here to enter text. Recommendation A RAPS Fellow is expected to have a minimum of 10 years of regulatory experience and Level IV experience as outlined in the Regulatory Affairs Professional Development Framework (www.raps.org/PDFramework). Level IV professionals are strategic and innovative. They assume a strategic lead role representing the regulatory perspective while proactively developing new and often innovative approaches for pursuing business objectives within the regulatory framework. Some of the most important facets of the Level IV professional’s scope of practice are responsibilities and tasks related to strategic planning and interfacing throughout the product lifecycle, both within the organization and with diverse external groups. Based upon a strong and extensive understanding of the role of the profession in the product lifecycle and the dynamics of regulatory processes, these professionals are also engaged in policy development within their organizations and with external groups. They typically are leaders and mentors within their organization and for the profession. At Level IV, professionals must be able to work effectively in multinational/multicultural environments. In approximately 300 words, please state how the nominee exemplifies the standards of a RAPS Fellow. Click here to enter text. Signature I certify that the information I have submitted is complete and correct to the best of my knowledge and belief. I understand and agree that any omission or misrepresentation in any statement or answer may be considered sufficient reason for refusal of this recommendation. Signature (initials): Click here to enter text. Signature Date: Click here to enter text. 2