WDHA Educator of the Year Award Application

The Association may honor outstanding achievement in dental hygiene education by awarding an Educator of the Year Award. This award is established to recognize, honor and reward a dental hygiene faculty member who contributes to and is dedicated to providing high quality education to dental hygiene students.  The recipient shall characterize excellence in teaching, mentoring and/or devotion to student achievement.

 

Criteria:
•    Professional member of ADHA/WDHA
•    A faculty member of an accredited dental hygiene program in Washington State
•    Must be nominated by student members of ADHA/WDHA

 

Award:
The recipient will receive a plaque and in their honor, their affiliate school shall receive a $500 monetary award, to be used for dental hygiene education or equipment, as directed by the recipient. Only one award may be given per year to a nominated faculty member. This award may be acknowledged annually at the Association-sponsored reception at the NW Dental Hygiene Educators’ Conference.

 

Applications must be received at Central Office no later than 4 pm on the second Friday of January. The 2020 deadline is January 10.

 

Application Submitted By:

First Name
Last Name
Which Dental Hygiene Program are you attending?
Year of Graduation
Mailing Address
City
State
Zip
Contact Phone #
Email

Nominee Information

 

Nominee's First Name
Nominee's Last Name
Mailing Address
City
Zip
State
Nominee's Phone #
Nominee's Email

Please submit letters of nomination by student members of ADHA/WDHA that highlight the faculty nominee’s contributions to dental hygiene education and provide a description as to why the nominee should be selected to receive the award.  

 

Letters can be uploaded with online application, emailed to wsdha@comcast.net, or mailed to PO Box 389, Lynnwood, WA 98046. Letters must be postmarked by 8/2/19.

Upload your recommendation letter 1
Upload your recommendation letter 2
Please type your full name below for your signature.

Deadline for Application: August 2, 2019

Only online applications will be accepted.

 

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