PURPOSE - To recognize individuals, other than a dental hygienist, who has contributed towards advancing the mission and goal of FDHA by increasing the awareness of oral health in Florida and advocating the public’s access to quality oral health care.

CRITERIA
A.     To qualify for this award the individual must be someone other than a dental hygienist, who has contributed substantially towards advancing preventive oral health.
B.     The individual should be someone who has made collaborative efforts towards our association reaching our goals as being the leaders in preventive oral health.
C.    The individual being nominated may not be a legislator and it must be an individual rather than a corporation or business.
D.    Nominations can be submitted by FDHA members or non-members. Individuals outside of FDHA may nominate someone.
E.     Submission must be made electronically to the President of FDHA by midnight June 30th.
F.     Nominations must include the name of the nominee, their phone number, email, and mailing address, as well as the name, email and phone number of the person who is nominating this individual.
G.    Nominations must include a description of the activities undertaken within the preceding year (365 days) before the award submission deadline that qualifies the individual to receive the award.
H.    Submit the nomination in paragraph form, single spaced, and approximately 2 pages in length.
I.       Please do NOT include a photograph of the individual.

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* 1. What is your name and credentials as the person submitting the nomination for the FDHA Presidential Oral Health Hero Award. (For example: Jane Doe, CRDH)

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* 2. What is your ADHA Membership ID? (locate the number on the ADHA website under Member login)

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* 3. What is the name and credentials of the non-dental hygienist you are nominating for the FDHA Presidential Oral Health Hero Award? (For example: Jane Doe, MPH)

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* 4. As the nominator, confirm that you have emailed the FDHA Presidential Oral Health Hero Award Chair, Robin Poole at poole.robin@gmail.com the nominating letter; and added a return receipt delivery confirmation. (Select only one)

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* 5. As the nominator, confirm that you have notified the nominee of this nomination. (Select only one)

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* 6. What is the best email address to reach you?

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* 7. What is the best phone number to reach you?

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