insignia

Michigan Dental Assistants Association

P. O. Box 118

Lennon, MI 48449

MDAA Awards for 2017

MDAA ACHIEVEMENT AWARD APPLICATION

 

This award is given al the Local that has sponsored the most seminars, community projects, membership drives and other activities related to dental assisting and the promotion of the Association.  This is based on a point system.  The Local that receives the most points shall be declared the winner.  In case of a tie the Board of Directors shall have final approval.

 

Society _______________________________________________

 

Prepared by ____________________________________________

 

Do not write here                                                   

Total Points _____

 _____ (5)   1)  Has your society sponsored an A.D.A.A. Continuing Education Course?

         

          Title:_____________________________________________

         

                                                                                                         

_____(5)     2) Has your society sponsored an all day seminar, workshop or equivalent?

        (Example: Two or more evenings equal to eight hours?)

      

Title: ___________________________________________

 

                                                                            

_____ (1 each) 3)  Community projects sponsored by your society, i.e.,

  1. Children’s Dental Health Week

b)  Toothbrush instructions in schools (not if same as a)                          

c)  Career Day Program in local schools

  1. Other ____________________________________________

                ____________________________________________

 

_____(1 each)   4)   How many of your meetings have educational programs? List date and topic.

  _________________________________________________________

  _________________________________________________________
              _________________________________________________________
              _________________________________________________________

 

_____ (1) each 5)  How many table clinics were presented at your society meetings? List each one with name of clinician:        

             

 

_____________________________________________________________

_____________________________________________________________

                         

_____6)  How many NEW members joined your local society as a result                (1) each   

of a membership drive?

 

___ List their names:

 

           ______________________                 _____________________

           ______________________                 _____________________

           ______________________                 _____________________

           ______________________                 _____________________

           ______________________                 _____________________

 

_____7)  Are there any other activities that your society feels it should    (1) each    

receive credit for?  Please describe. 

 

           _____________________________________________________

           _____________________________________________________

           _____________________________________________________

           _____________________________________________________

 

 

 

If more space is needed to answer any question please use the space below and

reference the questions number.     

 

 Please return completed form by:  March 1, 2017

 

Either Snail Mail  or email to:

 

Debra Williams BS

MDAA Vice-President & Awards Chair

7086 Milton Street

Detroit, MI 48234

313-924-8262

deboffmngr@aol.com

 

Membership Awards

Two awards are presented in this category. One is for the Local with the greatest percentage of increase in membership and the other is for the greatest numerical increase according to dates determined by the Board of Directors. Certificates may be presented to the runners up in both categories.

MARALEE ALBRECHT IMPACT AWARD APPLICATION

 

This award was named in honor of MaraLee Albrecht, MDAA Honorary Member and a very active member of the Michigan Dental Assistants Association. It is given to the member who has either contributed toward legislative pursuits and/or made educational presentations in the dental field.  This person may be nominated by a Local or an individual member. The committee shall review all applications and present the best applicant to the Board of Directors for approval.  The current MDAA President is not eligible for this award.

 

Date:      _____________________

 

I wish to place in nomination________________________________________ for the MaraLee Albrecht Impact Award.

 

Please fill out your contact information for the committees use:

 

Name:_______________________________Phone:_____________

 

Address:_____________________________________

 

City_______________Zip_________

 

Fax:____________________________________

 

Email:_________________________________

 

Please submit a typewritten nomination letter stating which local society the nominee belongs to, their previous offices held on the local, state or national level and in what ways they contributed to the profession using the guidelines below. 

 

Choose one topic:

  1. How has this person contributed to legislative pursuits? In what way have they been instrumental in initiating legislative change?
  2. How has this person made educational contributions?  (i,e.,lectures, seminars, table clinics, books, papers, visual aids, etc.)

 

 

The deadline to receive nomination forms is:     March 1, 2017

 

 

Please snail mail or e-mail this form and your typed nomination letter to:

 

MDAA Awards Chairman

 

Debra Williams BS

MDAA Vice-President & Awards Chair

7086 Milton Street

Detroit, MI 48234

313-924-8262

deboffmngr@aol.com

 

RUTH M. EDWARDS SERVICE AWARD APPLICATION

 

This Award was named in honor of Ruth M. Edwards, Life Member and a very active member of the Michigan Dental Assistants Association.  This award is given to the member who has demonstrated exceptional leadership, interest and motivation in the profession of dental assisting and/or in community service.  A local or an individual member may nominate this person.  The committee shall review all applications and present the best application to the Board of Directors for approval.  The current MDAA President is not eligible for this award.                       

 Date_____________________

 

I wish to place in nomination __________________________________________ for the Ruth M. Edwards Service Award.

 

Please fill out your contact information for the committees use:

 

Name:____________________________________

 

Phone  __________________________

 

Address:_____________________City__________________

 

Zip code__________________

 

FAX_______________________ Email __________________

 

Address___________________________________

Please submit a typewritten nomination letter stating which local society the nominee belongs to, their previous offices held on the local, state or national level and in what ways they contributed to the profession using the guidelines below:

 

How has this person demonstrated exceptional interest, motivation, and leadership by promoting and upholding the profession of dental assisting, with active participation in our Association; i.e., Component, Constituent, and/or National level? This member may also have demonstrated commendable and unselfish service for their community.

 The deadline to receive nomination forms is: March 1, 2017

 Please mail or email this form and your typed nomination letter to:         

Debra Williams BS

MDAA Vice-President & Awards Chair

7086 Milton Street

Detroit, MI 48234

313-924-8262

deboffmngr@aol.com