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2026 Spokespeople Program Nomination Form

AGD’s Communications Council is recruiting new members for its Spokesperson Program. Nominees should be comfortable communicating with the media, sharing content on social media, and be willing to be AGD’s public voice.

Every two years, the AGD selects a new class of spokespersons. Nominees should have public speaking and media experience. Ten nominees and two alternates will be selected. Please use this form to submit nominations. Self-nominations are welcome.
1.Nominee First and Last Name:
2.Nominee Credentials (i.e. DMD, DDS, MAGD, FAGD, MS):
3.Nominee Phone Number:
4.Nominee Location
5.Nominee Email:
6.Nominee Constituent:
7.Nominee Region:
8.Provide a brief reason why this individual would be successful as an AGD Spokesperson:
9.This individual is a subject matter expert on the following topics:
10.Language (s) Spoken by Nominee:
11.Dentistry Academic/Professional Practice Background:
12.Does the nominee have experience working with media?
13.Please specify experience working with the media:
14.Is your nominee comfortable with public speaking?
15.Please share some of the nominee's public speaking engagements.
16.Does your nominee have experience promoting oral health/dentistry on social media?
17.What are the nominee's social media handles/usernames?
18.What are some ways that the nominee is involved with the AGD (i.e. constituent leader/participant in constituent meetings, events, serves on AGD councils, delegates, etc.)?
19.Insert your name, role with the AGD, and constituent. Disregard is you are self-nominating: