Chapter of the Year Application Survey

Chapter of the Year Application

Academy of General Dentistry (AGD) Student Chapters are an important source of relevant, real-world information for today’s young dental professionals. Through guided events hosted by local AGD and student representatives as well as invited speakers, attendees can observe the latest dental techniques, receive valuable practice management advice, identify leadership opportunities within organized dentistry, achieve AGD Fellowship, and much more.

The Chapter of the Year Award honors one AGD Student Chapter that has provided their student membership with the best overall set of programs and activities. The 2021 AGD Chapter of the Year winner is not eligible. The activities shared below will be directly considered for the award.

1.Chapter name:(Required.)

2.Is your Chapter in good standing by submitting the Student Chapter Registration/Renewal form to AGD Headquarters.

Yes

3.Contact person:(Required.)

4.Email address:(Required.)

5.Primary phone(Required.)

6.How many new student members has your chapter recruited this year?(Required.)

7.How many continuing education (CE) sessions has your chapter offered this year? Tell us about them - topics, speakers, etc.(Required.)

8.How has your chapter raised funds for your chapter initiatives? Please share up to 3 events. If your chapter has not, please describe your future fundraising plan.

9.How has your chapter participated in any community service or volunteer work this year? If so, tell us more about it.

10.Are there any other special programs or activities your chapter offered this year? Please share.

11.Please provide the names and email addresses for your student chapter executive board:

Current Progress,

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