The following documentation must be submitted in electronic form with each nomination:
Complete nomination information addressing the commitment (of at least 10 years) and extraordinary humanitarian services of the nominee and the ongoing legacy that will be left, taking into account specific actions employed, demonstrated leadership skills, knowledge, dedication and persistence used to improve the oral health prospects of the specific community(ies), the population group(s) served and the long term impact of these endeavors as indicated by the information requested
- A Curriculum Vitae/resumé highlighting the nominee's humanitarian contributions
- Three letters of support from specific individuals, who are not the nominator (if more than three letters are submitted, only the first three will be considered)
- One letter in support of the nominee from his/her state or local dental society
- Other essential supporting documentation to substantiate and fully present the character and achievement of the nominee at the discretion of the nominator. Testimonials, photographs, brochures, newsletters, etc. (CDs, DVDs, and Videos or excessive amounts of material will not be considered)
For more information, contact the ADA Council on Advocacy for Access and Prevention at CAAP@ada.org.
Please review the criteria and the list of requested information thoroughly before submitting the nomination to ensure completeness and attach nomination information, CV, letters of support and additional documentation. Nominations must be received via the electronic portal and incomplete nominations will not be considered. All nominations become the property of the ADA, which may use them for any purpose including program promotion, information dissemination and professional education. Nominations will not be returned.