Hispanic Dental Association 2012 Women’s Leadership Award



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Hispanic Dental Association

2012 Women’s Leadership Award

The Hispanic Dental Association Women’s Leadership Award recognizes and honors women who have helped to advance the HDA mission, displayed exceptional character, and distinguished themselves as outstanding role models in the field of dentistry through our SEAL (Service, Education, Advocacy and Leadership). TWO awards are available – one for Leadership and Advocacy and one for Service and Education, 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/trophy at the 2012 HDA Annual Meeting – Women Dentists’ Award Brunch on Saturday, July 21, 2012 at the Boca Raton Resort & Club, 501 East Camino Real, Boca Raton, Florida.

  • A complimentary HDA professional membership for the 2013 member year.



CRITERIA FOR SELECTION:


  • Must be a current HDA member.

  • Must demonstrate exemplary values, dedication, and be an outstanding role model in the field of dentistry.


GUIDELINES FOR SUBMISSION:


          1. Submit a Letter of Nomination (a narrative describing the nominee’s accomplishments – not to exceed two pages, single spaced). Nomination MUST address which SEAL component specifically characterizes the nominee. Indicate in the Letter a detailed description of how the nominee meets the award criteria. Give examples of specific activities that have been accomplished and/or participated in by nominee.




          1. Complete the Nomination Form on page two to include contact information of the nominee and the person nominating. (Self nomination is allowed and welcome.)







          1. Email (no snail mail please) Letter of Nomination, completed Nomination Form, CV and biography to HispanicDental@hdassoc.org . DEADLINE: Friday, June 15, 2012.






Questions? Contact HDA Executive Director, Dr. C. Yolanda Bonta at ybonta@aol.com .

PLEASE NOTE: No reimbursement for the award winner’s travel expenses and/or lost income will be given.

Page Two
Hispanic Dental Association



2012 Women’s Leadership Award
Nomination Form
SUBMISSION DEADLINE: 6/15/12


Nominee Full Name




Credentials




Title




Organization




Address




Address




City / State / Zip




Email Address




Work Phone




Cell or Home Phone






Person Nominating
Full Name





Credentials




Title




Organization




Address




Address




City / State / Zip




Email Address




Work Phone




Cell or Home Phone





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