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2025 ASDA Advocate Award

The ASDA Advocate Award recognizes faculty or administrators at your school who have shown a commitment to dental students’ involvement in ASDA and organized dentistry.
Award recipients must meet the following criteria:

  • Support efforts of the local ASDA chapter
  • Demonstrate a long-term commitment to organized dentistry
  • Provide leadership and direction for ASDA chapter leaders and members
  • Promote the ideals of organized dentistry
  • Motivate new members within the school
  • Maintain a membership in the ADA, if eligible

Please collaborate with your chapter leaders to select one recipient for your chapter.

You may complete the form below, including:

  • Recipient’s first and last name
  • Recipient’s credentials, if they have them (DDS, DMD, etc.)
  • Recipient's email address
  • A brief description of why the recipient was selected for the award.

Submissions are due April 15, 2025.

Within 10 business days of receiving your submission, ASDA staff will email you a PDF of the award certificate. You may print the certificate (card stock is recommended) and/or share with the recipient via email.

Please email Anna Tytus at membership@asdanet.org with questions.


CONTACT INFORMATION
Please provide your contact information. We will send the award certificate to this email address.
1.Your Name(Required.)
2.Your Email(Required.)
3.Your Chapter Position(Required.)
4.Select your dental school from the dropdown menu.

Your dental school will be listed on the award certificate as it appears in the dropdown menu. If you would like your school name to be listed differently, please note that in the field provided.(Required.)
5.If you need the certificate by a certain date, indicate the date below:
AWARD RECIPIENT'S INFORMATION
Please provide the recipient's full name and credentials, if any, to be listed on the award certificate.
6.Recipient's First Name(Required.)
7.Recipient's Middle Name or Initial (Optional)
8.Recipient's Last Name(Required.)
9.Recipient's Credentials if Applicable (DMD, DDS, etc)
10.Recipient's Full Name with Credentials, as you would like them to appear on the award(Required.)
11.Please provide 3-5 sentences describing why this individual was selected to receive the Advocate Award.(Required.)