ADA Humanitarian Award

Nomination Instructions

1. Who Can Nominate: Any individual may nominate any eligible ADA member. Nominator limited to one Humanitarian Award nomination per year.

2. Submission Method: All documentation must be submitted in electronic form via nomination portal. Incomplete nominations will not be considered.

3. Required Documentation:
- Nomination Information: Complete nomination addressing:
- Commitment (minimum 10 years) and extraordinary humanitarian services of nominee
- Ongoing legacy to be left
- Specific actions employed
- Demonstrated leadership skills, knowledge, dedication, persistence
- Work to improve oral health prospects of specific community(ies)
- Population groups served
- Long-term impact of endeavors
- Curriculum Vitae/Resume: Highlighting humanitarian contributions
- Three Letters of Support: From specific individuals who are not the nominator (only first three will be considered if more submitted)
- One Letter from State/Local Dental Society: In support of nominee
- Supporting Documentation: At nominator's discretion including testimonials, photographs, brochures, newsletters, etc. (CDs, DVDs, videos, or excessive material will not be considered)

4. Important Notes:
- All nominations become property of ADA, which may use for program promotion, information dissemination, professional education
- Nominations will not be returned
- Review criteria and requested information thoroughly before submitting to ensure completeness

5. Contact for Questions: CAAP@ada.org