Outstanding Teaching and Mentoring Award Form

This award is presented to the periodontal educator at each institution who has demonstrated a commitment to excellence in providing education in the full scope of periodontics, and relays that enthusiasm to students. The Periodontal Department Chair selects the name of the award recipient. Awards are presented at the institution's award ceremony. Guidelines for submitting a name to receive the Award for Outstanding Teaching and Mentoring in Periodontics are sent to program directors in February of each year.

This form must be submitted by March 9, 2018, to guarantee that the award will be delivered in time for your awards ceremony.

Criteria

  • May be a predoctoral or postdoctoral educator
  • May be a full-time or part-time faculty member
  • Must be a member of the American Academy of Periodontology
  • May be eligible again three years following date of award

View 2017 award recipients

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Recipient: (please enter name as it should appear on plaque.)
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