Committee Chair Report – Blank Sample

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

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