International College of Dentists USA SECTION 610 Professional Drive, Suite 201, Gaithersburg, MD 20879
REGENT REPORT: DISTRICT ___ Fall 20XX Regent Name: Constituent Chapter(s)/State(s): District Officer updates/anticipated updates, if any, since last BOR meeting: Meetings held during year and future scheduled meetings – Date(s), Location(s), Highlights: District Newsletter: No [ ] Yes [ ] Name of newsletter: If multi-state District, list state newsletter(s): Screening Committee: Yes [ ]
No [ ]
Number on Committee:
Recommendations for improving each Constituent/State or Component Chapter in the District: Do any chapters in your district actively participate in White Coat Ceremonies? If so, please list the school and a description of how you participate: Information of general interest to the Members: New Fellow Goals to date: District Goal
# Applicants
# Completed
# In Progress
State/Chapter Goals
# Applicants
# Completed
# In Progress
What are your best practices for identifying qualified Candidates? If goal(s) not met, provide some suggestions as to how to achieve them in the future. Deaths in the District not previously reported to Section Office: Name
Date
Return 12 point Arial font .doc file by [Date] to Nicki@usa-icd.org
8
