Annual Call for Volunteers

The Florida Dental Association (FDA) relies on engaged members to move our profession forward.

This volunteer interest form allows members to share their interests, experience, and availability so we can better connect you with opportunities to get involved - whether that's leadership development, committees, task forces, or local events.

Opportunties vary each year, but your interest helps us build a stronger, more inclusive leadership pipeline for the future.

Submitting this form does not guarantee an appointment to a council, committee, or leadership position. Opportunties vary from year to year. This information helps FDA identify members interested in future involvement and leadership development opportunties.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

ADA Number

Email

example@example.com

FDA Component or District

What types of opportunities are you interested in?

How would you describe your availability at this time?

Have you previously volunteered with FDA or another dental organization?

If yes, briefly describe

What areas are you most interested in?

Would you like to receive information about leadership programs or engagement opportunities in your area?

Is there anything else you'd like FDA to know about your interest in getting involved?

Annual Call for Volunteers

Interest & Availability

Experience

Interest & Strengths

Future Engagement