American Dental Education Association

Download 0.95 Mb.
Size0.95 Mb.

c:\users\denmurphy\appdata\local\microsoft\windows\temporary internet files\content.word\main_adea color tagline.jpg

American Dental Education Association

655 K Street NW, Suite 800

Washington, DC 20001

King’s College Londonc:\users\denmurphy\appdata\local\microsoft\windows\temporary internet files\content.word\kcl_box_red pin 485rgb.jpg

Dental Institute

Floor 18, Tower Wing

Guy’s Hospital

Great Maze Pond

London SE1 9RT

Association for Dental Education
in Europe  

Dublin Dental University Hospitalw:\dented\adee_general\adee_logos_stationery_procedures\logos_2010\adee_logo_jpg_2010.jpg

Trinity College

Dublin 2, D02 F859 Ireland

Shaping the Future of Dental Education Rapporteur/Recorder Application form

Title (Dr/Mr/Mrs/Ms etc)


Date of Birth

Address where currently faculty

e-mail address

Contact telephone number

Present post title

Years in post

Select preferred workshop

Global Networking: the how and why for dental educators

Inter professional Education: an imperative for dental education

The impact of new technological and scientific discoveries on traditional dental education

Assessment in a global context

Please detail your training and experience post dental degree with special emphasis on Dental Education. Please include any particular topics of interest/research activities within dental education and how they align with the your preferred workshop theme (max 500 words)

Discuss what you view as the key regional and international priorities for dental education in your preferred workshop theme (max 500 words)

Please discuss the roles of ADEA/ADEE as you see it with regards to the future of dental education internationally (max 500 words)

Signature of applicant

Date submitted

Note: Ensure you include a 1000 word sample of you academic writing style
Include two referees from local senior academic colleagues using the following form

Shaping the Future of Dental Education London 2017

Rapporteur Referees Report

Name of applicant

Title of referee

Name of referee

Present position of referee

Email address of referee

Please state the candidates age range

20-25 25-30 30-35 35-40 40-45 45-50 50-55 55-60

What is the candidate’s faculty status

What is the candidate’s local contribution to dental education (Max 300 words)

What is the candidate’s contribution to International Dental Education (Max 300 words)

Please detail the candidate’s long term career progression and potential contribution to dental education (Max 300 words)

Can the candidate dedicate sufficient time to deliver the work load as outlined in the application

Please give a brief character reference for this candidate (Max 300 words)

Referees signature

Date signed

Shaping the Future of Dental Education: A Joint ADEA/ADEE initiative

Hosted by King’s College London 8th and 9th May 2017

Share with your friends:

The database is protected by copyright © 2019
send message

    Main page