Volunteer Opportunity Form

Full Name

Email

This will be used by CSDA Staff to contact you.

Phone

This will be used by CSDA Staff to contact you.

Component Society

Have you ever thought about being involved (or becoming more involved) in the CSDA?

• Yes
• No

Which type of volunteer activities interest you? (mark all that apply)

• Short term, project focused opportunities (ad hoc groups and one-time consulting roles)
• Ongoing project opportunities, like standing councils and committees
• Board of Governors/CSDA leadership track
• Other... This choice will expand a text box

Each of the following activities are volunteer opportunities available at the CSDA. Please let us know which of the following activities interests you. (mark all that apply)

• Connecticut State politics
• Testify at Legislative Hearings
• Speak with elected officials on pending legislation
• Marketing/communications for members and the public
• Access to Care Issues including workforce and elder care
• Identifying Continuing Education Speakers for all dental professionals
• Meeting logistics and hosting speakers
• Identifying and interacting with potential sponsors and exhibitors
• Developing themes and planning social events
• planningWork with the staff and volunteers who develop our annual budget for the approval of the Board
• Identifying businesses to provide member discounts or other benefits
• Planning for the future
• Working collaboratively with other health care providers
• Encouraging women to become actively involved in organized dentistry
• Developing programs for dentists at any stage in their careers (e.g., new dentists, retiring dentists, etc.)
• Reviewing ethics decisions of local dental societies and hearing cases that can result in disciplinary action against a member
• Assessing the professional and personal insurance needs of CSDA members
• Reviewing peer review recommendations from local dental societies and serving as a resource to the local volunteers who try to informally resolve disputes related to dental care.
• Selecting the recipients who receive various awards in recognition of their contributions to the profession or the association.
• Assessing the professional and personal insurance needs of CSDA members.
• Reviewing peer review recommendations from local dental societies and serving as a resource to the local volunteers who try to informally resolve disputes related to dental care.
• Selecting the recipients who receive various awards in recognition of their contributions to the profession or the association.

Are you interested in being contacted for possible participation on a CSDA working group (e.g., council/committee/task force)?

• Yes
• No

Submit