The professional designation as Fellow of the American Association of Nurse Practitioners (FAANP) is the highest professional designation for any nurse practitioner (NP). The Fellows of the American Association of Nurse Practitioners (AANP) operate the FAANP program and annually invite colleagues that have made a significant impact on the NP profession for consideration of this prestigious designation. Since its inception in 2000, nearly 700 NPs, or less than 1% of the membership, have been inducted as FAANPs. The number of candidates for consideration has continued to rise given that there are more than 75,000 members, many of whom have made significant contributions to health care. This article provides updates regarding the Fellows application process and provides guidance for both the candidate and the sponsors on how to prepare a competitive application.