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To enhance oral health globally by advancing the science, practice ...

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PRE-APPLICATION REQUIREMENTSThe following prerequisites are required of applicants:1. Applicant must be a qualified DMD/DDS/PhD or equivalent, with a minimum of ten years, activelyinvolved in dentistry, in ei<strong>the</strong>r a clinical or research setting or working in an implant-related academicposition minimum three days/week. (Excluding post-graduate training/research.)Please provide DMD/DDS/PhD or equivalent copies of certificate identifying year of graduation and aletter from your head of department confirming your contractual commitments and/or evidence of yourinvolvement in private <strong>practice</strong>.2. Applicant must be a member of Academy of Osseointegration (AO) for five (5) consecutive years.Please list <strong>the</strong> years in which you have been an Active member of <strong>the</strong> Academy of Osseointegration:___________________________________________________________________________________3. Applicant must have attended a minimum of three (3) Academy of Osseointegration Annual Meetingswithin <strong>the</strong> last seven (7) years.Please list which three (3) years you have attended <strong>the</strong> Academy of Osseointegration Annual Meetings:___________________________________________________________________________________4. Applicant is required to provide supporting testimonials from two (2) current Fellows of <strong>the</strong> Academy ofOsseointegration. (Please refer <strong>the</strong> most recent AO Membership Directory for a listing of Fellows of <strong>the</strong>Academy.)Please list each Fellows’ name:______________________________________________________________________2

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