BETA TEST–Nomination Forms

Nominations must be received by December 31, 2018, in order for nominees to be considered for induction at ACD 2019. Nominations received after that date will be held for ACD 2020, the College’s Centennial Anniversary, which will be held in Orlando, Florida.

The 2019 Annual Meeting and Convocation will be held September 5-6 in San Francisco.

Most successful nominations include a thorough description of the nominee’s commitment to leadership within dentistry and in service to the wider community. For dentists in the earlier years of their career, it is advisable for the nominator to focus on the leadership trajectory and potential of the nominee.

By submitting either or both of these forms you attest that you are a Fellow in good standing of the College and that you have abided by the ACD bylaws which state that all nominations are made confidentially and the nominees have not been made aware of their nomination.

Please do not hesitate to contact the office with any questions you might have about the nomination process or timeline.

Contact the Office

Nomination for Fellowship

All fields with an asterisk (*) are required. Please call our office at 301-977-3223 if you have questions.
  • Support Statements

    Please respond to at least two of the requests for supporting information included below. For dentists who are in the earlier phase of their careers, please emphasize their potential and trajectory as demonstrated post-dental school.
  • Briefly summarize the nominee's leadership experience.
  • Briefly summarize the nominee's committment to service.
  • Briefly summarize the nominee's publications and recognitions.
  • Please include any other relevant information about the nominee.