IDA 2023 Officer Application

If you have any questions please reach out to Andrea at andrea@indental.org.

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* 1. Name of Applicant:

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* 2. Component/District:

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* 3. Position of Interest

Vice President Elect

Speaker of the House

Vice Speaker of the House

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* 4. IDA Officers are required to represent the association in a number of settings. Public speaking skills, conflict resolution and a team player attitude are important. Do you feel you have these skills?

Yes

No

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* 5. Please provide a brief narrative statement of your qualifications as they relate to the above criteria, and leadership experience. Please note this statement may be shared with IDA members.

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* 6. Nominees CV/Resume (Optional):

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* 7. Do you have the endorsement of your component dental society? If so, and endorsement letter from your component president or trustee is recommended. Please attach.