IDA Committee/Subcommittee Volunteer Interest Form

Thank you for your interest in volunteering with the IDA! If you have any questions, please reach out to Andrea New, Director of Volunteer Engagement at Andrea@indental.org.

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* 1. Name

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* 2. Phone Number

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* 3. Email Address

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* 4. Component:

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* 5. Preferred mode of contact:

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* 6. Please choose any of the Committee's below that you are interested in and or would like more information on. You may make multiple selections. Check all that apply.

Dental Public Health Committee, Infant Oral Health Subcommittee and Medicaid Subcommittee

Leadership Committee, AIR Subcommittee, Awards Subcommittee

Professional Development Committee, Midwest Dental Assembly Subcommittee

Dental Practice Committee, Dental Education Subcommittee, Dental Benefits Subcommittee and Be Well Subcommittee

Government Affairs Committee

Finance Committee

Membership Committee, New Dentist Subcommittee

Communications Committee

Member Insurance Committee

Other (please specify)

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* 7. If you are interested in volunteering in a program, taskforce or specific area not listed above, please share that information below or email Andrea New, andrea@indental.org directly.