The Academy of General Dentistry (AGD) recognizes that members’ circumstances change throughout their careers. To assist members through these transitions, the AGD offers various membership status options to current members in good standing. In the event your situation does not fall under any of these categories, you may submit a special request for consideration by the Membership Council to firstname.lastname@example.org.
If you wish to apply for a status change, please complete this application and provide a one-page letter explaining your situation as supporting documentation. This information will be provided to the Membership Council for their review.
This field is required
Please upload relevant documents.