AAWD Pre-Dental Student Chapter Application Form - AMERICAN ASSOCIATION OF WOMEN DENTISTS

AAWD Pre-Dental Student Chapter Application Form

AAWD Pre-Dental Student Chapter Application Submission Form

Thank you for your interest in establishing an AAWD Pre-Dental Student Chapter!

Before beginning, please ensure you have:

Formed a leadership team with at least three officers (President, Vice-President, Secretary/Treasurer).
Identified your Chapter Advisor
Drafted your chapter’s bylaws.
Created a 6-month activity plan outlining initial goals and events.

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 *

Format: AAWD [School Name] Chapter

School Name *

Chapter Location *

Faculty Advisor Information

Faculty Advisor Name *

Faculty Advisor Title / Position

Faculty Advisor Email *

Additional Faculty Advisor Names and Emails

Please list the names and emails of any additional faculty advisors.

Faculty Advisor AAWD Member Confirmation *

I confirm that the Faculty Advisor listed above is or intends to become a current AAWD National member.

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/Treasurer Name *

Secretary/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 6-month activity plan *

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

20MB max

Acknowledgements

National Membership Requirement Acknowledgement *

I acknowledge that all chapter officers and the faculty advisor listed above must be current AAWD National members.

Faculty Advisor Acknowledgement *

I acknowledge that the Faculty Advisor will be copied on all official communications from AAWD National to this chapter.

Chapter Compliance and Updates *

I understand that all information provided by AAWD National is confidential and may only be used for official chapter purposes. I understand that our chapter must submit updates to AAWD National at least once per academic year (recommended quarterly) via the Chapter Update Submission Form.

Mission Acknolwedgement *

I affirm that our chapter will uphold AAWD’s mission to advance, connect, and enrich the lives of women in dentistry.

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 National Office will review your application within 2–3 weeks and contact your Faculty Advisor and chapter President regarding next steps.

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