WCDDA Dan Bertoch Dentists' Day on the Hill Memorial Scholarship

WCDDA Dan Bertoch Dentists' Day on the Hill Memorial Scholarship
Dr. Dan Bertoch devoted much time to advocacy for the dental profession. Members of the Florida state legislature and many in Washington D.C. knew of Dan and always welcomed him during the ADA's Washington Leadership Conference and FDA's Dentists' Day on the Hill (DDOH).

It is in the spirit that a Memorial Fund in Dan's name will provide funding for a first-time attendee to DDOH in Tallahassee. This grant is meant to help a dentist who has the passion to meet with legislators to discuss issues affecting dentistry and to support and advocate the Florida Dental Association’s legislative agenda. Any first-time attendee is welcome to apply by completing the application form and submitting a letter to the WCDDA. The grant can be used towards transportation to and from Tallahassee and accommodations at the host hotel. Reimbursement will occur after the event. The deadline for the application is January 1st.
Application for WCDDA Fund Dan Bertoch Dentists' Day on the Hill Memorial Scholarship
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Have you attended DDOH previously?
Yes/No
What is your interest in legislative activities?
Please describe your involvement with your local dental association:
Where would you like to see organized dentistry in five years.
Upload letter/article to complete submission

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WCDDA Dan Bertoch Dentists' Day on the Hill Memorial Scholarship

Application for WCDDA Fund Dan Bertoch Dentists' Day on the Hill Memorial Scholarship