PURPOSE - This award is designed to recognize a deserving Student Member (2022 graduate) who exhibits strong commitment to the dental hygiene profession and have demonstrated leadership within their student chapter and dental hygiene program.
CRITERIA
A. Quality of service to the Student Chapter and the local, state and/or national association levels.
B. Represent the association in a professional manner.
C. Community involvement and service to others (Dental or Non-Dental).
D. Interest in continued professional growth with FDHA and ADHA.
E. Enthusiastic about the profession of Dental Hygiene.
F. Acts in a professional manner with faculty and other students.
G. Agrees to serve as a member of the Student Committee (state level) for one year if chosen as the winner of the award.

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* 2. Name of the person submitting the nomination? (For example, Jane Doe)

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* 3. What is your position in the Dental Hygiene Program (select all that apply)

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* 4. What is the name of the FDHA Future Leader Award nominee? (For example: Jane Doe)

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* 5. Please confirm the student has/is graduated/graduating in 2022.

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* 6. Please confirm the student nominated has agreed to serve as a member of the Student Committee (state level) for one year if chosen as the winner of the award.

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* 7. Please confirm that you have sent the FDHA Awards Manager the Nominating Letter. (Select only one)

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* 8. As the nominator, confirm that you notified the nominee of this nomination; and provided the date of the Awards Ceremony (10/7/22 at 6pm) where the award winner will be announced.

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* 9. What is the best email address to reach you?

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* 10. What is the best phone number to reach you?

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