The AAPD Foundation is seeking enthusiastic dental professionals and healthcare workers to review Access to Care Grant applications. In this volunteer role, grant reviewers evaluate applications against AAPD Foundation grant standards and complete an evaluation form for each application.

The time commitment includes a one-hour remote training session with AAPD Foundation staff in September, followed by the review of 15–25 applications (approximately 30 minutes each) between September and November.

1.Preferred title.

Dr.Ms.Mrs.Mr.

2.What is your name?

3.In what state or U.S. territory do you live?

AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of Columbia (DC)FloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

4.At what email address would you like to be contacted?

5.Occupation/Job Title.

6.Please confirm that you would available September to mid-November to be a volunteer Access to Care Grant reviewer.

Yes

No