Apply for a dentist to volunteer to give a dental education talk

We will endeavour to assist in finding an ADA Member dentist to volunteer to provide a dental education talk at your organisation or institution as part of Dental Health Week.

Please fill out the form thoroughly. The more information you provide helps us to find a volunteer and for them to prepare.

Name*

Email*

Contact number

Are you the contact person for this event?

Yes
No

If No, please fill the contact person details

Name of organisation/institution

Address

Please include street address, suburb and state. This is the address that the volunteer will come to for the presentation.

Number of people to be present at the presentation

Average age of the audience

Desired date and time of presentation

Are your date and time flexible?

Yes
No

Is there a specific topic you wish for the dentist to discuss?

If you are an educator, does this talk align with a unit of education?

What facilities are available to the dentist providing a talk (to assist in planning)?

Examples include dress-ups, smart board, ability to display a PowerPoint or video, etc.

Consent for storing submitted data

Yes, I give permission to store and process my data

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Our experts continually monitor the oral health space. As research and recommendations change or we get reader feedback, we update the information in our articles.

Apply for a dentist to provide a dental education talk for Dental Health Week

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