World Headquarters Website

Fellowship Nomination Referral

The College Office
International College of Dentists
Flint, Michigan

Re: Fellowship Nomination

Please consider the following dentist for fellowship in our College (include as much of the requested information as known). The name will be referred by the College Office to the relevant Section for consideration.

Name

Email

Telephone Number

City / State / Country

Check below if appropriate:
Please contact me so I can discuss this nominee or comments about the nomination process.

Please provide your contact details: (Only a Fellow of the College can sponsor a nomination).

Name

Country

Telephone Number

Email

Your ICD Section