Download the ADCFP application, checklist, and participation agreement document.
All application materials should be collected and submitted to the Academic Dental Careers Fellowship Program Selection Committee as one complete application and received by December 21, 2009. Faxed applications will not be accepted. Completed applications must include the following:
- ADCFP application
- Current dental school transcript
- Proposal from applicant and mentor that outlines three to five specific fellowship goals and identifies tangible outcome measures to assess attainment of each fellowship goal (not to exceed two pages)
- A letter of support from the Dean or Associate Dean for Academic Affairs that describes the student's academic standing and notable educational achievements and institutional support for the fellowship experience
- Current curriculum vitae of mentor
- ADCFP Mentoring Relationship and Participation Agreement, cosigned by student applicant and designated faculty mentor
All application materials must received by December 21, 2009. Mail them to:
ADCFP Program Selection Committee
c/o Dr. W. David Brunson
American Dental Education Association
1400 K Street NW, Suite 1100
Washington, DC 20005