Awards Nomination Form

The D.C. Dental Society recognizes the contributions of individual members and community leaders through its esteemed awards which are presented at the Society’s annual awards dinner held on June 4, 2019. Below is a list of the awards given.

Instructions: Complete all required fields and click on the submit button at the end of this form to complete your nomination application. ​

Nominee Information:


Please check the award(s) for which you want the nominee considered. NOTE: Details for each award are available on the DCDS website at: 

DCDS Awards

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DCDS Foundation Awards

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Please include an explanation as to why the nominee should be considered for the award.

Nominator Information: