Reviewer Application

I would like to serve on the Board of Review for Heart & Lung®. I understand that the manuscripts I receive will need to be reviewed within a period of 2 to 3 weeks and that I may be asked to provide assistance in developing editorial policy and procedure for the Journal.

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Signed Date

Please print or type the following information:

Name as you wish it to appear in print:_________________________________

Degrees to be listed after your name:_______________________

Current employer/affiliation:_____________________________

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Previously published articles:______________________________

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I also serve as a reviewer for:________________

Address to which manuscripts are to be sent:____________________

Street____________________________

City___________ State__________ Zip___________

Phone numbers: Work________/__________ Home___________/_________

Fax number: Work___________ /__________

Please list 3 to 5 areas of expertise in which you have either educational or experiential background:

Return to: Kathleen S. Stone, PhD, RN, FAAN, Editor

The Ohio State University

College of Nursing

180 Newton Hall

1585 Neil Avenue

Columbus, OH 43210-1289