Thank you for your interest in taking over ADHA's Instagram account. Please keep in mind that this is a time commitment that will require you to both post about 4-6 posts on the account and maintain prompt communication with ADHA staff in order to facilitate. Be sure to check the email you list below for a follow up email from ADHA staff to set up a takeover date!

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* 1. What is your full name?

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* 2. Where are you from? (City, State)

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* 3. In which dental hygiene program are you enrolled?

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* 4. What is your expected graduation date?

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* 5. What is your Instagram handle?

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* 6. What is your email?

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* 7. What is your cell phone number?

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* 8. Are you an ADHA student member?

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* 9. Is there a month that works best for you to do the takeover?

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* 10. Is there any specific event/activity you would like to cover in your takeover? Ex: Community service project, clinical day, field trip, etc.