AMERICAN DENTAL ASSISTANTS ASSOCIATION - ADAA President's Award of Excellence-underwritten by Henry Schein
AWARDS NOMINATION FORM rev 10/2011
A separate form MUST be submitted for EACH nomination - CONTACT ADAA CENTRAL OFFICE, please allow 2 business days for confirmation, if confirmation is not received, contact our office - do not resubmit form.
It is your responsibility to contact central office if a confirmation of receipt email is not received. This nomination form is NOT used with entries for the Student Achievement Award or Mosley Distinguished Service Award.
Letters of Recommendation - EMAIL SEPARATELY to firstname.lastname@example.org (Subject: Awards Letter of Recommendation), you will be notified when received.
PLEASE NOTE: Notarizations, letters of recommendation, reference and other documents must be sent as a separate attachment to email@example.com. When submitting separate attachment, include name of Award, name of Award nominee and submitter informatIon.
When sending forms:
- Do not submit this form more than once for the same recipient. If you have a question about your entry, contact Nancy Rodriguez
- You will receive a confirmation once it has been accepted/returned for further information.
- Please use proper grammar, ADAA will not change the format of the form
- Do not use ALL CAPS, do not use all lower case
- REMEMBER to submit additional documentation separately
DO NOT USE THE RETURN BUTTON UNTIL YOU ARE FINISHED, THIS WILL SUBMIT YOUR FORM, COMPLETE OR INCOMPLETE