Membership Application Form

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Membership Application Form

Instructions

Welcome to the American Association of Women Dentists (AAWD) Membership Application! We appreciate your interest in joining the only dues-based national organization representing the interests of women dentists across the country. AAWD benefits its members from dental school through retirement. Please follow these brief instructions to complete the application form:

Personal Information:

Provide accurate personal details, including your full name, email address, mailing address, and phone number.

Professional Information:

Include your professional details, such as your dental license number, dental school and anticipated graduation date, practice name, and any relevant affiliations.

Membership Level:

Select the appropriate membership level based on your professional status and interests. Please note that there are restrictions and additional submission requirements for some membership levels.

Terms and Bylaws Acknowledgment:

Read and acknowledge your understanding of AAWD's privacy practices by referring to the linked Bylaws.

Payment Information:

Provide the necessary payment information for the selected membership level.

Submission:

Review your information to ensure accuracy and completeness.

Click the "Submit" button to send your application to AAWD.

Confirmation:

Upon successful submission, you will receive a confirmation email. If there are any issues or missing information, we will contact you promptly.

Thank you for choosing AAWD! We look forward to welcoming you as a valued member of our association.

If you have any questions or encounter difficulties during the application process, please contact our membership team at membership@aawd.org.

Select An Option

Active

Any U.S. licensed woman dentist in good standing. Each Active Member shall be entitled to vote on all matters coming before the membership.

Affiliate

Any person who is supportive of the goals of the Association may be elected into Affiliate Membership. This member shall have all the privileges and responsibilities of an Active Member, except those of voting and holding office. Such Affiliate members may be represented in special categories or committees that are established from time to time by the Board of Directors.

Faculty

Any U.S. licensed women dentist in good standing, currently holding a position in an educational institution. Each Faculty Member shall be entitled to vote on all matters coming before the membership.

Federal

Any U.S. licensed women dentist in good standing, currently holding a position in a federal institution. Each Federal Member shall be entitled to vote on all matters coming before the membership.

Retired

Any Active Member of this Association who has reached 65 years of age, is an Active member of AAWD, and has retired from practicing in the dental profession.

Early Career Dentist

A dental school graduate within 2 years of her graduation and/or a student member who is in a graduate or residency program. The Early Career Dentist Member shall have all the privileges and responsibilities of an active member except those of voting and holding office. During registration, you must provide your dental school graduation date and/or proof of post-graduate enrollment.

Student Annual

For students currently enrolled in dental school. The Student Member shall have all the privileges and responsibilities of an Active Member except those of voting and holding office.

International

Any licensed dentist practicing outside the US or Canada may be elected into International Membership. This member shall have all the privileges and responsibilities of an Active Member, except those of voting and holding office. Such International members may be represented in special categories or committees that are established from time to time by the Board of Directors.

Student Bulk

This is a four-year membership plan only available to first-year students enrolled in dental school. The Student Member shall have all the privileges and responsibilities of an Active Member except those of voting and holding office.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

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