AAWD Local & International Chapter Application Form - AMERICAN ASSOCIATION OF WOMEN DENTISTS

AAWD Local & International Chapter Application Form

AAWD Local & International Chapter Application Submission Form

Welcome to the AAWD Local & International Chapter Application! We’re excited that you’re taking this important step to establish a local chapter and bring the AAWD community to women dentists in your area. This form is designed to streamline the application process, allowing you to submit all required information and documents in one place.

Please complete each section of the form and attach the necessary supplemental documents, including your chapter bylaws, confidentiality agreements, and 6-month activity plan. We’ve included a section to enter your chapter officer information directly within this form, so there’s no need to submit a separate roster document.

Application Checklist

Before submitting, please ensure you have completed the following:

Formed a leadership team with at least four officers (President, Vice-President, Secretary, Treasurer).
Drafted your chapter’s bylaws.
Created an activity plan outlining initial goals and events.
Collected signed Confidentiality Agreements for all officers.

Once submitted, the AAWD National Office will review your application and reach out with any questions or additional information needed. Thank you for your commitment to AAWD’s mission. We look forward to supporting you as you launch your new chapter!

Fields marked with an * are required.

Primary Contact Info

First Name *

Last Name *

Email *

Chapter Info

Chapter Name *

Chapter Location *

Officer Information
Each officer listed below must be an active AAWD member at the national level.

Chapter President Name *

Chapter President email *

Chapter Vice-President Name *

Chapter VP Email *

Chapter Secretary Name *

Secretary Email *

Chapter Treasurer Name *

Treasurer Email *

Optional: List any additional officers (include name and email).

Application Documents

Please attach your chapter's formatted Bylaws *

Attach your chapter’s bylaws document. Refer to the sample bylaws in the Starter Guide for guidance.

20MB max

Please upload your chapter's activity plan *

Upload your activity plan, outlining initial chapter goals and a tentative schedule of events.

20MB max

Please upload your chapter's signed Confidentiality Agreements *

Attach signed confidentiality agreements for all officers (can be a single document with multiple signatures or a zip folder with all officers' agreements).

20MB max

Acknowledgements

National Membership Requirement Acknowledgement *

I acknowledge that all members of this local chapter must also be active members of the American Association of Women Dentists (AAWD) at the national level. Each chapter member must complete an individual membership application on the AAWD website and maintain current national membership throughout their involvement with the chapter.

Application Review Process *

I acknowledge that this application and all supporting documents will be reviewed by the AAWD Director of Membership and Chapters. I understand that the Director may contact our chapter leadership for clarification or additional information during the review process.

Chapter Compliance and Updates *

I acknowledge that this chapter will operate in alignment with AAWD’s mission, bylaws, and policies. The chapter agrees to designate a representative to attend quarterly chapter check-in meetings hosted by AAWD, submit quarterly chapter update forms, and provide an annual updated roster of chapter officers. The chapter also agrees to notify AAWD promptly of any changes in leadership, contact information, or chapter status.

Social Media & Branding Guidelines Acknowledgement *

I acknowledge that this chapter will follow all AAWD Social Media Guidelines, Branding Standards, and authorized-use policies as provided in the AAWD Member Portal and Chapter Implementation Guide. I understand that only designated chapter officers may manage chapter accounts, that chapters must maintain a professional and respectful online presence, and that AAWD may require content updates or removal if policies are violated.

Post-Approval Resources *

I acknowledge that, upon approval of this application, AAWD will activate the AAWD Chapter Directory listing and provide the chapter officers with information on how to access their directory listing and the suite of Chapter Resources available to officially recognized chapters.

Submission

How can AAWD best support your chapter? *

Submission Confirmation *

By submitting this form, I confirm that all required documents are attached, and all officer information is accurate and complete. Once submitted, you’ll receive an automated confirmation email. The AAWD Director of Membership will review your application and contact your chapter’s primary contact within 2–3 weeks.

Please verify that you have checked the “I'm not a robot” checkbox.