Forms & Awards

MEMBERSHIP FORMS

Membership | ADAAF / Journal | Education | Association | Annual Session

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Juliette A. Southard Scholarship - Criteria / Application  DEADLINE MARCH 15, 2013

Student Achievement Award - Criteria / Application   DEADLINE MARCH 15, 2013

AWARDS - Deadline for below awards is June 30, 2013

Membership Awards Criteria

Anna Nelson Memorial Award of Editorial Excellence - Criteria / Application (Word doc)

ADAA President’s Award of Excellence - Criteria / Application (Word doc) / Online Application

Loyal Assistant Award - Criteria / Application (Word doc) / Online Application

New Member Involvement Award - Criteria / Application (Word doc) / Online Application

ADAA/Sunstar Americas Pride Awards Criteria / Application (Word doc) / Online Application

ADAAF Forms

DARW Kit 2013

ADAA Creed

ADAA Pledge

ADAA Statement of Commitment

Membership Materials Request Form (Must be an ADAA member to request)

Nomination Form for Officer & Trustee

State Officer Form

Local Officer Form

Council/Subcommittee Application Agreement 

Biographical Sketch Form (coming soon)

Education Forms

Journal Forms

ADAA Past Presidents Award

The ADAA Past Presidents are committed to finding new ways to benefit our credentialing dental assistants and how a state or national credential will advance the careers of dental assistants.

So the ADAA Past Presidents are announcing a new benefit for ADAA members:  A Scholarship for Credentialing!  ADAA members who need to take a credentialing exam, apply for a credential certificate or license or any other expense to become credentialed in the state or take the national certification exam, can apply with the attached application to receive a $500.00 scholarship to be used toward the credentialing process.  Qualifications for the scholarship are also attached.
 
One scholarship will be given in 2013 with the deadline for application being June 30, 2013.
 
Guidelines/Criteria
Download the Scholarship Form (word / pdf)