Colgate-Palmolive / Hispanic Dental Association 2012 Student Recognition Award




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Colgate-Palmolive / Hispanic Dental Association

2012 Student Recognition Award

The Colgate-Palmolive / Hispanic Dental Association Student Recognition Award recognizes graduating students who are members of the Hispanic Dental Association and who help to promote and improve the overall quality of oral health for the Hispanic population. Two awards are available, and recipients are selected by a review panel comprised of members of the HDA Awards Committee.


Award Recipients will receive the following:

  • Recognition and award plaque at the 2012 HDA Annual Meeting A cash award of $500.00.

  • Travel or meeting registration assistance funds in the amount of $200.00.

  • A complimentary HDA membership for the 2013 member year.


CRITERIA FOR SELECTION:


  • Must be a current HDA member.

  • Must be a senior dental or hygiene student or 2012 dental or hygiene graduate at an accredited U.S. Dental or Hygiene School (including Puerto Rico).

  • Must demonstrate a special interest in community dentistry and dental public health issues related to the promotion and improvement of the oral health of the Hispanic community.


REQUIREMENT GUIDELINES:


          1. Nominations may be made by Faculty Advisors of HDA Student Chapters or by Faculty who are HDA members.

          2. Complete the Nomination Form on page two.

          3. Submit a Letter of Nomination to the HDA Awards Committee. Letter of Nomination MUST address above award criteria. Indicate in the Letter a detailed description of the student's demonstration of his/her special interest in community dentistry and public health issues related to the Hispanic community. Give examples of related projects that have been accomplished and/or participated in.

          4. Email (no snail mail please) completed form and Letter of Nomination to Christina Gordon at cgordon@associationcentral.org and return no later than DEADLINE: Friday, June 15, 2012.

          5. Late submission will NOT be accepted.

Questions? Contact Christina Gordon at the HDA National Office by email cgordon@associationcentral.org or phone 800-852-7921.

Page Two
Colgate-Palmolive / Hispanic Dental Association



2012 Student Recognition Award
Nomination Form
SUBMISSION DEADLINE: 6/15/12



Student Full Name




University




Recent Degree




Year Graduating or Graduated




Student Address




City / State / Zip




Email Address




Cell or Home Phone




HDA Student Chapter Faculty Advisor Name OR Faculty Name (must be a current HDA member)




Faculty Email Address




Faculty Phone





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