Nomination form



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NOMINATION FORM
FOR ASSOCIATION HONOURS & AWARDS

Thank you for requesting a nomination form for your colleague to receive a BDA honour or award. The Committee would very much like this individual to be considered and would be grateful if the following form could be completed to aid their consideration. Kindly note we do not accept self-nominations.


Please be aware that success in receiving an honour or award is strongly based upon the information you provide in the nomination form. It is anticipated that the nominee may in some instances need to help you complete the form to ensure comprehensive information is provided. At this stage you are only required to submit the completed nomination form; please do not attach a separate CV. If further information is required, the Committee will request this at a later date.
Honours and awards are not guaranteed. We would therefore be grateful if you could reiterate this to the individual, if they are aware of their nomination, in order to avoid any disappointment.
Nomination forms may be submitted to: Alison Magee – alison.magee@bda.org at any time throughout the calendar year for forwarding to the Committee. Nominations to be considered for next year’s honours and awards must be received by no later than 31 March 2016. Once your nomination has been considered by the Committee, recommendation will be made to the Principal Executive Committee. You will be informed of its decision in writing.
Should you have any queries, please contact Alison on 020 7535 5833.
With many thanks.
greening_signature
Sue Greening

Chair Honours and Awards Committee

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NOMINATION FORM
FOR ASSOCIATION HONOURS & AWARDS


Nominating Branch /Section / Group






Name of contact person and office held






Contact details for correspondence

(Address, telephone number and email of contact person)









Personal Details of Nominee

Name of Nominee






Membership Address






Qualifications with relevant dates





BDA Membership – including the date membership commenced







Honour or Award for which they are being nominated (please refer to the attached guidance for categories)







Career Information

Please detail nominees’ sphere(s) of practice, with dates, places and appointments held, and date of retirement (if applicable).









BDA Activity


(i) Please provide details of activity at Branch and Section and/or Group level, including membership of Branch Council, Group Committees, etc, with dates. Please include details of any outstanding service to Branch, Section and Group or members locally.





(ii) Please provide details of membership of national BDA Committees, Sub-Committees and Working Parties, with dates, offices held, etc.


(iii) Please provide details of any representation of the Association on outside bodies at national level.


(iv) Please provide details of any other special contributions.






Other Committee Experience

Please provide details of any involvement with other associated Committees.








International Activity

Please provide details of any involvement at international level (eg. FDI).









Specialist Societies

Please provide details of memberships with any specialist societies, with offices and dates.








Other contributions to professional activity

Please provide details of any other contributions to the profession (eg. speaker at Branch and Section meetings, postgraduate courses, research, etc).








Service to the Community

Please provide details of any service to the community.








Statement of Support

Please summarise the reasons why the Branch/Section/Group is nominating this individual for a BDA Honour or Award (approx 200 words - please continue on a separate sheet if necessary).









Nomination

Please indicate whether the nominee is aware of this nomination

Yes □ No □



Signed: ……………………………………………………… Date: …………………………
Please return the completed form to Alison Magee, BDA, 64 Wimpole Street London W1G 8YS, or email: alison.magee@bda.org by 31 March 2016.

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BDA HONOURS AND AWARDS CATEGORIES


BDA PRESIDENT (Honour)

This is the highest office in the Association and the most supreme honour which the Association may bestow.



Eligibility and purpose:

  • To honour outstanding service to the Association and UK dentistry

  • Any member of the Association is eligible for nomination

  • Nominations are particularly sought from non-retired members of distinction




HONORARY MEMBERSHIP (Honour)

Considered to be one of the Association’s highest honours; one which is rarely awarded.



Eligibility and purpose:

  • A rare honour, which is often bestowed on dignitaries from overseas dental associations

  • Distinguished persons who may or may not be members of the Association or of the dental profession

  • There should be no more than 20 recipients at any one time




BDA FELLOWSHIP (Honour)

Eligibility and purpose:

  • To honour distinguished service to the Association and dental profession

  • Any ordinary member (including a Life Member) of the Association who has:

  1. been for 20 years continuously an ordinary member of the Association, and

  2. has rendered outstanding and distinguished service to the dental profession and the Association

  • The number of Fellows should not exceed 40 at any one time



JOHN TOMES MEDAL (Award)

Eligibility and purpose:

  • To honour members of the dental profession and of scientific eminence, or persons distinguished in medical or allied services

  • Any person, whether or not otherwise eligible for ordinary membership of the Association

  • To honour outstanding services to the dental profession or the Association

  • Normally not more than one or two medals would be awarded in one year

LIFE MEMBERSHIP (Honour)

This honour is not usually awarded until after retirement from practice, except in cases of outstanding service.



Eligibility and purpose:

  • To honour long and valuable service to the Association, particularly at Branch, Group and local levels, by significant service beyond the regular attendance at meetings and usually by significant representation at national level

  • An ordinary member of the Association who has been either:

  1. for 25 years continuously a member, or

  2. for 10 years continuously a member who has ceased to practice dentistry and holds no paid dental appointment

  • It is anticipated that not more than one or two such awards will be made in any one branch or group within one year and will not necessarily be awarded every year

  • There should be no more than 200 Life Members at any one time

DISTINGUISHED MEMBER (Honour)

This honour would not normally be awarded until after retirement from practice, except in cases of outstanding service.


Eligibility and purpose:

  • To honour long, exceptional and valuable service to the BDA and acknowledge personal commitment to the operation and welfare of the organisation

  • Senior Officers who have served in an outstanding capacity in the governing of the BDA

  • Members who have given numerous years of service and significant contribution across BDA Committees

  • There are no limitations on the number of the recipients at any one time, as the allocation will be included within the 200 Life Membership limitation


BDA HONOURS AND AWARDS CATEGORIES


ROLL OF DISTINCTION (Award)

Eligibility and purpose:

  • To honour outstanding services to UK dentistry

  • Any person, whether or not eligible for membership of the Association

  • This award allows non-dentists to be honoured appropriately




CERTIFICATE OF MERIT FOR SERVICES
TO THE ASSOCIATION (Award)


Eligibility and purpose:

  • To recognise any special service at any level of dentistry within the UK

  • In general, this award is be reserved for dentists and other persons who have contributed to a BDA committee / commission / task force / project or event over a period of years and who has assisted in the promotion of the BDA




CERTIFICATE OF MERIT FOR SERVICES
TO THE DENTAL PROFESSION (Award)


Eligibility and purpose:

  • To recognise any special service at any level of dentistry either nationally or internationally

  • In general, this award is reserved for dentists and other persons who have contributed to academic or other work in furthering the profession, or individuals active in promoting advancements within the dental profession

  • Nominations would be sought for practitioners who have demonstrated excellence in any of the following categories:
    - business entrepreneurship
    - clinical developments
    - new and inclusive approaches to patient-centred
    care/creating a patient-friendly environment
    - development of good practice
    - application of primary dental care research
    - promoting the profession and practice of dentistry
    - oral health promotion
    - dentistry in the community








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