APHA Oral Health Section - Student Awards 2025
Candidate Information
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Credentials/Degrees
Are you currently a student?
Yes
No
Affiliation
Program
Photograph in a .jpg or .tiff format and at least 300 dpi. Please note: If awarded, this photograph will be published in the APHA Program Book
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Please provide proof of full-time student status or graduation within the past 12 months. (ex: official notification from the registrar’s office)
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Biographical Sketch (100 words maximum)
A personal statement of your interest in the Oral Health Section
APHA Oral Health Award
APHA Oral Health Award which you're applying to:
Anthony Westwater Jong Memorial Population Oral Health Pre-Professional Award
Caswell A. Evans Population Oral Health Post-Professional Award
Project Information
Abstract Title
Abstract (250 words)
Topic Area
Community Based Interventions
Oral Health Innovations
Oral Health Literacy and Oral Health Related Behaviors
Oral Health Workforce
Social Determinants of Health and Oral Health Equity
Other
One page description of the project (750 words maximum)
*
Provide references, websites, publications and/or citations as appropriate
Professional Recommendation
A letter to be completed by the sponsoring faculty or public health professional outlining stating applicant’s contributions to the project described above
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