ASDA is planning to feature predental members and events on @dentalstudents so you can connect with other members and celebrate Predental Month. ASDA would love to recognize YOU!

Your responses and headshot may be published on the ASDA Instagram page, @dentalstudents in May. You must be an ASDA predental member to participate.

You must be an ASDA predental member to participate in this survey.
Not an ASDA Predental member? Join here!

Please complete the survey by April 14th.

Contact membership@asdanet.org with any questions. We appreciate your participation!
ABOUT YOU
Please complete all fields.

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* 1. First name

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* 2. Last name

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* 3. Undergrad Institution and Predental Club Affiliation (if applicable)

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* 4. Undergraduate Graduation year

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* 5. Email

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* 6. ASDA Member Number
You can find this number by logging into your MyASDA account, click MyASDA in green at the top of the page, choose Update My Profile, your member number should appear at the top.

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* 7. Please provide 1-3 pictures that we can use to promote your profile. Examples include pictures of you:
  • In an undergrad shirt/sweatshirt
  • Participating in a dental simulation
  • A professional headshot
Keep in mind that these will be used for professional purposes, only share photos that you would want a future employer to see.

PNG, JPG, JPEG file types only.

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* 8. Picture 2

PNG, JPG, JPEG file types only.

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* 9. Picture 3

PNG, JPG, JPEG file types only.
QUESTIONNAIRE
Please respond to the following questions with 2-3 sentences each.

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* 10. Why do you want to be a dentist?

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* 11. If you weren’t pursuing dentistry where would you be?

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* 12. What are you most excited about for dental school?

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* 13. How did you find out about ASDA? Why did you join?

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* 14. What is the most challenging part of preparing for dental school?

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* 15. How do you spend any free time that you may have?