2023 Excellence in Oral Health Awards

Nomination Form

Please nominate an individual in only one category. Awards in each category may not be given every year. The Excellence in Oral Health Awards are designed to recognize contributions of Kansans that far exceed the normal course of duty.

Nominations are due by Monday, September 11 at 5 pm

Question Title

* 1. Contact information for the person submitting this nomination

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Contact information for the Nominee

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. If your nominee is chosen, may we let them know you nominated them?

Yes

Question Title

* 4. Please select the category for your nominee.

Outstanding Organization Award:
An organization that is distinguished from others in excellence in promoting oral health awareness in Kansas

Outstanding Dental Hygienist Award:
A dental hygienist that is distinguished from others in excellence, who goes beyond the call of duty and is committed to improving the oral health of Kansans

Outstanding Dentist Award:
A dentist that is distinguished from others in excellence, who goes beyond the call of duty and is committed to improving the oral health of Kansans

Outstanding Community Leader Award:
A community leader that is distinguished from others in excellence, who goes beyond the call of duty and is committed to improving the oral health of Kansans

Outstanding Oral Health Volunteer Award:
An outstanding non-dental volunteer who demonstrates a positive difference in an organization - someone who saw a problem and got involved to find a solution

Bob Bethell Outstanding Policy Maker Award:
An outstanding policy maker that is distinguished from others in excellence, who shows support for the oral health of all Kansans

Ron Alexander Outstanding Dental Champion Award:
This award is designed to recognize the outstanding work a Dental Champion has done as a direct result of participating in the Dental Champions Leadership Program.