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Request a Mentor

Please complete this form if you are University of Washington dental student who would like to be assigned a WSDA member mentor dentist.
In what general area(s) are you considering practicing?




Will you go into military dentistry?

Are you considering a specialty?

If so, which one(s)?








Are you an ASDA member?

WSDA would like to hear from students about what you are looking for in a mentor program (i.e. practice shadowing opportunities, in-person meetings, phone/email conversations, etc.). Please elaborate below.


Mentor Reception

Signing up for the program? Please make​ your best effort to attend the 2018 Mentor Reception! 

Thursday, October 11
6:00-8:30 PM
Touchdown Terrace in Husky Stadium
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