Yes, I would like to be considered for the MDS Leadership Institute. The deadline for submitting an application is May 31, 2013. A limited number of positions are available each year. Applications are reviewed and final selections are made by the MDS Council on Membership.
This application is also available to download as a PDF document or in Microsoft Word.
What do you hope to achieve from the MDS Leadership Institute Program?
What prior volunteer roles/activities have you been involved with? (Please list dental and community.)
Submit CV: Please submit your CV by email (email@example.com), fax (508-480-0002) or mail (Two Willow Street, Suite 200, Southborough, MA 01745)
I understand that I am agreeing to attend four half-day required programs per year, plus one evening team-building event. The half-day programs will be held on: September 18, 2013, and October 23, 2013, February 12, 2014, and March 19, 2014. Each program will run from 1:00–5:00 p.m. at MDS Headquarters in Southborough. The team-building event will be held on November 20, 2013, from 6:00 - 9:00 p.m.
Accepted applicants are also required to participate in a year-long term on an MDS council or committee following completion of the first year of the Leadership Institute.