ASDA Membership Application 2023-2024
Hi Everyone! ASDA 🦷 is a national student-run organization that protects and advances the rights, interests and welfare of dental students. As UCSF is one of the few non-auto enroll schools, students must individually register to become an ASDA member every year. While 💰$95/year (subject to change) may seem steep at first, the experiences will be priceless. When you join ASDA, you’re given a voice – in your education and profession – and a chance to be part of a strong network of future dentists 😃. You’ll also have the opportunity to develop the leadership skills that will benefit you throughout your life. In addition, ASDA membership can give you a wide range of benefits ⭐️ such as:

1) ASDA T-Shirt 👚👕 
2) 🪥 FREE Oral-B Toothbrush for D1; FREE Philips sonicare toothbrush for D2!!!
3) Access to member-only study resources on our website 💻 
4) Access to ALL ASDA Social Events 👩‍⚕️🧑‍⚕️  during the year 
5) Opportunities to go to conferences such as ASDA Annual Session in TBD and National Leadership Conference in Chicago ✈️ 
6) 🎉 Networking, FUN, and SO much more! 

Please fill out the ASDA Membership Application below if you want to be part of the UCSF ASDA Family ♥️ !
Sign in to Google to save your progress. Learn more
✨ Join Us! ✨
First Name *
Middle Name
Last Name *
Suffix
Graduation Year
*
Phone Number
*
UCSF Email Address
*
Street Address
*
Address 2 (Building, suite or apartment number)
City
*
State/Province *
Postal Code
*
Country
*
Advance Standing (IDP)
*
Gender
*
T-Shirt Size
*
Did you pay your ASDA Membership dues of $95 through our Zelle ucsfasdatreasurer@gmail.com

Please write your full name and ASDA dues in the "Add a message" box when paying (example: Jen Zhou - ASDA dues).
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy