DCDS Nomination Form

Nominations will be accepted via this form until 5:00 PM on Tuesday, November 11, 2025. Nominations may also be made live during the business meeting held via Zoom on November 11, 2025 from 5:45 PM until approximately 5:50 PM.

Question Title

* 1. Your Contact Information
Note that the Awards and Nominating Committee may contact you about your nomination to request additional information.

First Name

Last Name

Email Address

Question Title

* 2. Name of person you are nominating

Question Title

* 3. Type of Nomination

DCDS Board of Directors or Officer Position

DCDS Foundation Board of Directors Position

DCDS Award or DCDS Foundation Award

DCDS Delegation to the ADA House of Delegates

DCDS Nomination Form

Question Title

* 1. Your Contact InformationNote that the Awards and Nominating Committee may contact you about your nomination to request additional information.

Question Title

* 2. Name of person you are nominating

Question Title

* 3. Type of Nomination

* 1. Your Contact Information
Note that the Awards and Nominating Committee may contact you about your nomination to request additional information.