AWARDS

                     

                                       GDHA OUTSTANDING DENTIST OF THE YEAR

Outstanding Dentist of the Year Award application.docx.

                                                                                             

Outstanding Dentist of the Year Award application.pdf

The GEORGIA DENTAL HYGIENISTS’ ASSOCIATION offers this award to a Georgia dentist who has shown exemplary respect and support of the dental hygiene community

Criteria: nominations must come from a GDHA hygienist and the nominee must be a licensed Georgia dentist.

Nominee’s Name ____________________________________________________

Nominee’s Address _______________________________________________________

________________________________________________________________________

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Nominator’s Name ____________________________________________________

ADHA # __________

Nominator’s Address _______________________________________________________

_________________________________________________________________________

Contact # _________________________________________________________________

Email Address _____________________________________________________________

Relationship to the Nominee __________________________________________________

Please explain, in 200 words or less, why you are nominating this individual for this award.  Please include humanitarian efforts, hobbies, personal/professional awards/accolades and how this individual has shown support for the profession of dental hygiene.

Return completed nomination to the GDHA Awards Chair, Barbara Harrison at: bhdh72@bellsouth.net

             Georgia Dental Hygienists' Association Outstanding

                             G.D.H.A. Volunteer of the Year

 

Name: ______________________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________

Contact Number: (_______) ___________________________Cell or Home (circle one)

 Work Phone: (_______) ___________________________________

​Component: ________________________________________________________

Nominated by: ______________________________________________________

 

Comments: Write a brief narrative explaining the reasons for nominating the candidate for this award. The award is based on the current years’ service.  Please be as specific as possible in the narrative explaining the service of the candidate. 

A nominee information form will be forwarded to the candidate upon receipt of this form.

Deadline for submission is two months before the GDHA Annual Conference

 

Return completed form to the VOTY Awards Chair Barbara Harrison at: bhdh72@bellsouth.net


Georgia Dental Hygienists’ Association

A Constituent of the American Dental Hygienists' Association Representing Dental Hygienists throughout the State of Georgia.

The Georgia Dental Hygienists' Association does not endorse any business or its product(s). See disclaimer

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