C U RRI C U L U M V I TA E D ETA I L S REQ U I RED F RO M EA C H NO MI NEE F O R I NC L U SI O N I N TH E BA L L O T P A P ER Name
Year of Graduation
Relevant
Association Activities
Other Activities
Please include phone
Limited to State and Federal ADA offices held. Include highest Group office and year, Branch Standing and Ad
Limited to activities which are, or may be, relevant to Council service e.g.
number so that interested
Hoc Committees and years, with highest office held and years. The details of a particular involvement should
Hospital and/or teaching appointments.
members may elicit further
list different levels of participation, in chronological order, beginning with the most recent. Material exceeding
Only highest office held in affiliated bodies e.g. specialist societies, not
information if they
the limit 0f 25 lines will not be accepted.
simply membership.
Practice Details
Qualifications and Honours
NOTES
so desire
OR Include the number of Federal Standing Committees, Branch Standing and Ad Hoc Committees you have served on, including any terms as Chair of Standing Committees or Convenor of Ad Hoc Committees.
EXAMPLE
Aust Pros Soc Vic Branch President 2000;
Smith, Leslie
BDSc (Melb)
ADAVB Council 2004-present, Vice President 2011/12, Executive Councillor 2009-11;
Senior Clinical Demonstrator Department of Restorative Dentistry, University
1972
LDS
Quality Assurance Committee 2002-present, Chair 2003;
of Melbourne, 1997-1999;
Parkvale
BSc (Hons) (Monash)
Federal Infection Control Committee 2000-02;
General Practitioner
Fellow Pierre Fauchard Academy
Dental Health Education Committee 1997-2001, Chair 2000;
(Group)
RACDS (Pros)
9800 1234
Award for Distinguished Service
.
1998 (ADAVB)
Standing Committees - Sixteen
Chairman Suburban Group Z 1994.
Chairman – Nine Ad Hoc Committees – Twenty Convenor – Ten
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