SCDA Student Chapter Registration & Annual Renewal

SCDA Student Chapter Registration & Annual Renewal
SCDA student chapters connect future oral healthcare professionals with opportunities to learn, advocate, serve, and collaborate in special care dentistry.

All new and returning student chapters are asked to complete this form annually so the national SCDA team can maintain accurate chapter leadership information, recognize active chapters, and provide resources and communications throughout the academic year.

Chapter registration is separate from individual SCDA membership. We encourage every chapter member to join SCDA nationally. Each student must complete their own membership registration (members.thescda.org); local chapter dues do not automatically establish national membership.

Once submitted, your information will be reviewed by the SCDA National Student Liaisons. Our team will follow up if additional information is needed.
School/Program Name
Chapter President Name

First NameLast Name
Chapter President Email
example@example.com
Chapter Vice-President Name

First NameLast Name
Chapter Vice-President Email
example@example.com
Chapter Treasurer Name

First NameLast Name
Chapter Treasurer Email
example@example.com
Chapter Secretary Name

First NameLast Name
Chapter Secretary Email
example@example.com
Chapter Faculty Advisory Name

First NameLast Name
Chapter Faculty Advisory Email
example@example.com
Chapter Co-Faculty Advisory Name

First NameLast Name
Chapter Co-Faculty Advisory Email
example@example.com
Please send an updated list to scda@thescda.org annually or when advisros change.

Please either enter your list of members below or upload a list.
Member List
Member List Upload

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