Colgate-Palmolive / Hispanic Dental Association

Colgate-Palmolive / Hispanic Dental Association
2012 Faculty Recognition Award
The Colgate-Palmolive / Hispanic Dental Association Faculty Recognition Award recognizes faculty who are members of the
Hispanic Dental Association and who have made a contribution toward enhancing the overall quality of oral health for the
Hispanic population by extending themselves beyond the scope of their position. Three awards are available, and recipients are
selected by a review panel comprised of members of the HDA Awards Committee.
Award Recipients will receive the following:
 Recognition and award plaque at the 2012 HDA Annual
 A cash award of $500.00.
 Travel or meeting registration assistance funds in the amount of $200.00.
 A complimentary HDA professional membership for the 2013 member year.
Must be a current HDA member.
Must be a faculty member at an accredited U.S. Dental School (including Puerto Rico).
Must demonstrate exemplary values, dedication, and a willingness to assist beyond the requirements of
their position in one or more of the following activities:
- Effective teaching methods
- Personal interaction and mentoring of students
- Support others in their quest for knowledge and advancement of research/clinical
experiences that will expose them to current techniques in surveillance and interventions
directed at improving the health of the Hispanic population.
- Ongoing research
- Publications
- Promotion of research for students and colleagues
- Presentation at scientific / professional meetings
- Advocate for students, influence school policies
- Serve on academic / professional committees
- Participate in and/or sponsor activities of the local (if existing) HDA student chapter
- Community activities / service
1. Nominations may be made by Deans or Faculty at an accredited U.S. Dental School (including Puerto Rico). Self
nomination is not accepted.
2. Complete the Nomination Form on page two.
3. Submit a Letter of Nomination to the HDA Awards Committee. Letter of Nomination MUST address which award
criteria listed above is specific to this nominee. Indicate in the Letter a detailed description of how the nominee meets
the award criteria. Give examples of specific activities that have been accomplished and/or participated in by
4. Submit CV (curriculum vitae) of faculty member being nominated.
5. Email (no snail mail please) completed form, Letter of Nomination, and CV to Christina Gordon at
[email protected] and return no later than DEADLINE: Friday, June 15, 2012.
6. Late submission will NOT be accepted.
Questions? Contact Christina Gordon at the HDA National Office by email [email protected] or phone 800-8527921.
Page Two
Colgate-Palmolive / Hispanic Dental Association
2012 Faculty Recognition Award
Nomination Form
Faculty Full Name
City / State / Zip
Email Address
Work Phone
Cell or Home Phone