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Speaker Scouting Committee
Speaker Scouting Committee
Questions or comments concerning the Scouting Committee can be directed to the chair,
Casey Cook, DMD
, or MDS staff liaison
Samantha Corrinne
. Meeting minutes are now secure for member-only access.
Speaker Scouting Form
Please do not use symbols or special characters in your responses below. Thank you!
Scout's Last Name
*
Meeting
American Academy of Cosmetic Dentistry
American Dental Association
American Dental Hygienists Association
California Dental Association Fall
California Dental Association Spring
Chicago Midwinter
Florida National Dental Convention
Hinman
New Orleans Dental Conference and LDA Annual Session
Ohio Dental Association
Pacific Northwest Dental Conference
RDH Under One Roof
Southwest Dental Conference
Star of the North
Star of the South
Texas Dental Association
Yankee
Endodontic Specialty
Orthodontic Specialty
Oral Surgery Specialty
Pediatric Specialty
Periodontic Specialty
Prosthodontic Specialty
Other
*
If Other
Year
*
Topic
*
Title
Speaker
*
Course Fee
Course Type
Lecture
Workshop
Hands-On
Audience
Dentists
Hygienists
Assistants
Office Personnel
Dental Laboratory Technicians
Other
If Audience is For Other, Please Explain
# of Attendees (Estimate)
Audience Engaged
Yes
Somewhat
No
Overall Grade
A
B
C
D
F
Corporate Influences
Yes
Somewhat
No
Invite to Yankee
Yes
No
Notes
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