2019 Student Poster Session Application

Only one submission needed per poster.

Application (Microsoft Word | PDF)

First Name
Last Name
Mailing Address
Cell Phone
Dental Hygiene School
Year of Graduation
ADHA ID Number
Poster Title
Upload your application

Deadline for Application: March 22, 2019 at 5:00PM

If mailing application, send to: Education Committee
                                                c/o WDHA
                                                PO Box 389
                                                Lynnwood, WA 98046 or scan and e-mail: wsdha@comcast.net

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move