Membership | American Academy of Dental Hygiene, Inc.

Fellowship Application
Thank you for your interest in becoming a fellow of the American Academy of Dental Hygiene Inc.! We look forward to reviewing your application. Submission of application is not a guarantee of fellowship. All applications are screened by the Fellowship Review Committee and then forwarded to the Governing Council for final approval. You will receive notification of final fellowship status via email by June 1st. If you have questions regarding the application process email the Executive Director: Danni Gomes at admin@aadh.org.
Application Fee:

$200.00
Requirements checklist:
Date of Application:
Today's Date
Name:

First NameLast Name
Business
Company name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SMS Number:

Area CodePhone Number
Email Address:
Please avoid using an email address ending in .edu
Date joined AADH

MonthDayYear
Date
Select specialty field, discipline or achievement pursued for fellowship status:
** Concentration in: Aesthetic/Restorative, Implantology, Lasers, Orofacial Myology/TMD, Oral Medicine, Oral/Systemic Disease, Orthodontics, Pediatrics, Periodontics
Please read the following and indicate your agreement by signing below.
Signature*

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Upload Baccalaureate Degree or higher*

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Submit 3 out of the 4 criteria below
Upload documentation of advanced education of at least 100 hours in the specialty or field.

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Upload documentation of active participation in the specialty or field via practice, published research or poster/clinic presentations at national or international hygiene meetings, or having served elected leadership positions in hygiene associations.

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Upload documentation of presenting a continuing education course which meets AADH guidelines for course approval.

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Upload documentation of advancing the cause of the specialty/field in some community related significant manner.

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Upload headshot (optional) *used to recognize you on our website and/or social profiles.
Fellowship Application Fee Payment:

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AADH Fellowship Application Fee $200.00

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Fellowship Application

Application Fee:

Submit 3 out of the 4 criteria below

Fellowship Application Fee Payment: