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INDIVIDUAL CERTIFICATION PLAN
INSTRUCTIONS
Follow instructions exactly. Individual Certification
Plans (ICPs) that are submitted incomplete or in incorrect
form will be returned without consideration.
The AHP Fellow Certification Program encourages
professionals in the field of health care resource
development and management to develop an Individual
Certification Plan by granting credit for achievements in
four categories: education, experience, performance, and
service.
Applicants for the Fellow designation), must earn a
minimum number of points in each category out of a
maximum number of points allowed. They also must earn a
minimum number of total points in all four categories
combined in order for their ICP to be accepted by the AHP
Fellow Certification Committee.
If their ICP is accepted, applicants for the Fellow
designation will be notified that they are eligible to sit for
the Fellow examination. To earn the FAHP designation,
they also must pass the examination.
If the ICP submitted by recertification applicants is
accepted, they will automatically be recommended for
recertification. No examination will be required.
The number of points required in education, experience,
performance, and service is summarized at the beginning of
each section of the ICP. Each summary point chart shows
the minimum and maximum points available in each
category for Fellow. It is prudent to include all activities
you believe may fit each category, in case your evaluation
of an activity’s worth varies from that of AHP. To help you
track your points, it is recommended that you complete the
ICP Worksheet and Report Card on Pages C-19 and C-21.
(The Report Card should be submitted with the application.)
Read all instructions carefully and review the
individual Certification Plan before beginning to
complete the form. If AHP is unable to review you
application because it is unclear, it will be returned.
Further, if AHP finds your ICP to be incomplete or
inaccurate, it will be returned. Any delay for these
reasons, may jeopardize the timely review necessary to
sit for the Fellow examination on the date you choose.
If additional space is needed, attach extra sheets to
your ICP. At the top of each sheet, put your name and
the number of the ICP item for which you are supplying
additional information.
Provide complete and accurate information. AHP
will make its assessment based solely on the
information you provide, so it’s in your best interest to
be thorough. Be factual and do not skimp on details. It
is not necessary to document beyond the maximum
number of points specified in each area.
Attach all documentation requested. To validate
your achievements in the performance category, you
must submit certain supplemental documents as
specified in the ICP. To ensure that each document is
clearly identifiable, put your name and the number of
the ICP item related to it at the top of each sheet. Your
application will not be considered complete without
these documents.
Submission of your ICP. Prepare one original and two
copies of your ICP and supporting documentation.
Keep one copy for your personal files. Submit the
original and second copy in a tabbed file folder with
your name, address, and telephone number printed on
the front cover. Please also type or print your name
(last name, first name, middle initial) on the tab of the
folder.
Organize your materials according to the sections
outlined in ICP, so that documentation for each section
is submitted together.
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Only one folder will be accepted per applicant, so eliminate
unnecessary bulk. Folders will be retained at AHP until
your ICP is accepted or three years pass, whichever comes
first. ICPs that are not initially accepted may be
supplemented with additional documentation during those
three years, so that documents originally supplied need not
be resubmitted. Applicants whose ICPs remain
unacceptable at the end of three years must resubmit an
entirely new ICP.
Note: If your address changes during the certification
process, it is your responsibility to notify the AHP office.
Keep one copy of your ICP and supporting documents
for your personal file and submit the original and second
copy to:
AHP Certification Program 313
Park Ave, Suite 400 Falls
Church, VA 22046
Applicants who want immediate acknowledgement of
delivery should send materials by certified mail, return
receipt requested, or use a national courier service.
Note: Your ICP must be postmarked two months
before the date of the examination you wish to take. For a
list of examination dates and locations, see Page D-1 or
contact AHP at (703) 532-6243. You will be notified of
AHP’s evaluation of your ICP 45 days before the
examination date. If your ICP has been accepted, you will
be asked to confirm your reservation for the Fellow
examination by remitting the appropriate examination fee.
(Fees are inserted on Page D-1 of this booklet.)
Examinations will be graded and scores reported within 30
days. If you sit for the exam during the Annual
International Educational Conference, you will receive your
official recognition at the following year’s conference. If
you sit for the exam during the AHP Institute for Healthcare
Philanthropy, you will receive your official recognition of
the international conference that immediately follows the
institute.
ACCEPTABLE ICP FORMAT
You may complete and submit your ICP by entering your
information on this form or reformatting if using word
processing. If you re reformatting the ICP, you must
include each numbered question and subpart for reference,
along with your response. You need not enter the
instructions of the scoring guides.
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INDIVIDUAL CERTIFICATION PLAN
This form must be accompanied by a completed Application form (Section B of the AHP Fellow Certification Program
Information and Application Booklet)
If you have any questions about documenting your ICP, please contact the Association for Healthcare Philanthropy at 313 Park
Avenue, Suite 400, Falls Church, VA 22046; telephone (703) 532-6243; fax (703) 532-7170; e-mail: ahp@ahp.org
1) Name: AHP Member Yes No
2) Title:
3) Institutional/Organization:
4) Office Address:
City:
State/Providence:
ZIP/Postal Code:
Telephone ( ) Fax: ( )
E-mail:
5) Home Address:
City:
State/Province:
ZIP/Postal Code:
Telephone: ( ) Fax: ( )
E-mail:
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CATEGORY 1 – EDUCATION
Category 1 offers the opportunity to earn points for both higher and continuing education. Applicants for Fellow must earn
a minimum number of points out of a maximum available, as shown in the chart below:
SUMMARY
EDUCATION CATEGORY POINT REQUIREMENT
Designation Minimum
Required Maximum
Allowable
Fellow Applicant 120 160
The number of points allowable for higher and continuing education varies with the designation sought (see below).
6) HIGHER EDUCATION: Include degrees earned or higher education institutions.
Check here if supplement sheets are attached for item 6. Be sure that material is labeled with your name and the
number “6”, and is easily located in your ICP folder.
UNIT SCORE
Associate’s Degree 25
Bachelor’s Degree 50
Master’s Degree 25
Doctorate 50
MAXIMUM POINTS ALLOWABLE
Fellow Applicant 50
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7) CONTINUING EDUCATION: Include educational programs offered by AHP, programs in health care resource
development and management offered by other organizations, and general programs about raising and managing
funds for various uses.
UNIT SCORE
AHP EDUCATIONAL PROGRAMS
Annual International Educational Conference 25
Annual Regional Conferences 15
Institutes of Philanthropy 30
Special Seminars, Workshops & 1 Point
Teleconferencing Programs per Hour
AHP-affiliated Roundtables 1 Point per Session
Audiotapes/Self-study Guides 1 Point per Item
NON-AHP EDUCATIONAL PROGRAMS
Other Professional Health Care Resource 1 per Hour
Development & Management Programs 3 per Half Day
6 per Day
Other Professional Non-health Care Resource .5 per Hour
Development & Management Programs 1.5 per Half-day
3 per Day
Certificate Programs 10 Points per 30 Hours
Non-degree Semester Hours 1 Point per Hour
MAXIMUM POINTS ALLOWABLE
Fellow Applicant 160
Institutions Dates Degree Earned
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A. ATTENDANCE AT/PARTICIPATION IN AHP EDUCATION PROGRAMS: List all international and regional
conferences, Institutes for Philanthropy, special seminars and workshops. AHP-affiliated Roundtables,
audioconferencing sessions, audiotapes, and self-study guides from the AHP Core Curriculum services. (See
“Category 4 – Service” to report your experience as an educator, faculty member, or trainer.)
Check here if supplemental sheets are attached for Item 7A. Be sure that material is labeled with your name and
the number “7A” and is easily located in your ICP folder.
Title of Conference, Workshop, etc. _________________________________________________________________
Dates: ______________________ Number of Days/Class Hours: _________________________________________
Title of Conference, Workshop, etc. _________________________________________________________________
Dates: ______________________ Number of Days/Class Hours: _________________________________________
Title of Conference, Workshop, etc. _________________________________________________________________
Dates: ______________________ Number of Days/Class Hours: _________________________________________
Title of Conference, Workshop, etc. _________________________________________________________________
Dates: ______________________ Number of Days/Class Hours: _________________________________________
Title of Audiotape, Self-study Guide, etc. ____________________________________________________________
Title of Audiotape, Self-study Guide, etc. ____________________________________________________________
B. ATTENDANCE AT NON-AHP PROFESSIONAL HEALTH CARE RESOURCE DEVELOPMENT AND
MANAGEMENT PROGRAMS: List courses sponsored by other national, state, and provincial health care
associations (e.g. American Hospital Association, Canadian Hospital Association, American or Canadian College of
Healthcare Executives, Healthcare Finance Management Association, etc.). (See “Category 4 – Service” to report
your experience as an educator, faculty member, or trainer.)
Check here if supplemental sheets are attached for Item 7B. Be sure that material is labeled with your name and the
number “7B,” and is easily located in your ICP folder.
Sponsoring Organization: _______________________________________________________________________
Title of Program or Conference: __________________________________________________________________
Dates: _____________________________________________________________________________________
Number of Days/Class Hours: ____________________________________________________________________
Sponsoring Organization: _______________________________________________________________________
Title of Program or Conference: __________________________________________________________________
Dates: _____________________________________________________________________________________
Number of Days/Class Hours: ____________________________________________________________________
AHP FELLOW CERTIFICATION PROGRAM
Sponsoring Organization: _______________________________________________________________________
Title of Program or Conference: __________________________________________________________________
Dates:_______________________________________________________________________________________
Number of Days/Class Hours: ____________________________________________________________________
Sponsoring Organization: _______________________________________________________________________
Title of Program or Conference: __________________________________________________________________
Dates:_______________________________________________________________________________________
Number of Days/Class Hours: ____________________________________________________________________
C. ATTENDANCE AT OTHER PROFESSIONAL NON-HEALTHCARE RESOURCE DEVELOPMENT AND
MANAGMENT PROGRAMS. List courses sponsored by the Association of Lutheran Development Executives,
Council for the Advancement and Support of Education, National Catholic Development Council, National
Committee on Planned Giving, Association of Fundraising Professionals, etc., or programs offered by a college or
university based center for not-for-profit studies (e.g., Indiana University Center on Philanthropy, Case Western
Reserve Mandel Center for Nonprofit Organizations, University of San Francisco Institute for Nonprofit
Organizations Management, York University School of Non-profit Management in Toronto, etc.)
Check here if supplemental sheets are attached for Item 7C. Be sure that material is labeled with your name and the number
“7C,” and is easily located in your ICP folder.
