Download the “Nominate for Fellowship” form for use in supporting a colleague for Fellowship in The New York Academy of Dentistry. When completed, save this form to your file, and  then with your sponsorship letter,  a seconder letter and the nominee’s CV, should be forwarded to the Fellowship Committee in one email with the four attachments:

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Dr. Julie Connolly has requested that all application materials be sent to her electronically at julieconnollydds@nyperio.com

In preparing your nomination, please keep in mind the following:

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(i) Only Active and Life Fellows may nominate potential Fellows.

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(ii) Each eligible Fellow may nominate only one candidate for Fellowship during each academic year.

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(iii) No nominations or seconds from the nominee’s office will be accepted.

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(iv) The nominee must be a member in good standing of the American Dental Association or its equivalent.

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If you have any other questions, or if you require further information, please contact me at 212-888-7477.

Please refer to “Article IV” of the Bylaws