Leadership Institute - Apply

Yes, I would like to be considered for the MDS Leadership Institute. The deadline for submitting an application is May 31, 2016. A limited number of positions are available each year. Applications are reviewed and final selections are made by the MDS Membership Committee.

  Name:

  Phone:

  Email:

  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 (srodman@massdental.org), 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 Wednesday meetings, which will be held at the MDS Headquarters in Southborough and one evening meeting, which will be held at MIT Endicott House.

 
September 14, 2016 1:00–5:00 p.m. MDS Headquarters
October 19, 2016 1:00–5:00 p.m. MDS Headquarters
November 16, 2016 6:00-9:00 p.m. MIT Endicott House
February 8, 2017 1:00–5:00 p.m. MDS Headquarters
March 8, 2017 1:00–5:00 p.m. MDS Headquarters


Upon completion of the first year, participants will be required to serve on a special Ad Hoc Committee. You will have the opportunity to decide on the committee’s focus and its effects on the profession. There will be a kick-off meeting held at the MDS Headquarters in Southborough.

   

Massachusetts Dental Society

Two Willow Street
Suite 200
Southborough, MA 01745

(800) 342-8747
(508) 480-0002 fax

Officers and Trustees
 

Directions to the MDS Headquarters

The MDS is located conveniently off exit 12 of the Mass Pike (I-90).

Directions