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Pre-Fellowship Application Form

Online Submission

When you have been nominated by a current ADI Fellow, please complete the biographical profile form complete with signature, business card and passport sized photo. Online is our preferred application method. Any European Union resident or citizen must apply online.

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Click here to submit online

Paper Submission

If you prefer, you may complete the PDF and send to ADI. Open the fillable PDF and complete all fields, SAVE to your computer. Then print or email as a single attachment.


Academy of Dentistry International
100 Park Avenue
New York, NY 10017 USA

or via Email:


Academy of Dentistry International
100 Park Avenue, 16th Floor
New York, New York 10017 USA
Tel: +1 212 984 0672 (voicemail for Interim Executive Director)