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Student Elective Application

Applications for student electives are to be received by 15th March each year and will be approved by CDF Council during April. Electives from CDF are given in 2 splits. The first 2/3 is ahead of the elective and the final 1/3 once a report is received. This report will be published in the CDF Quarterly publication “Three-in-One”.

Title

First Name(s)

Surname

Address – Line 1

Address – Line 2

Address – Line 3

City/Town

Postcode

Your email address

Your dental school and current academic year

Are you a member of CDF?

Yes No

How did you hear about CDF?

Please tell us a bit about the elective that you will be doing.

What is the purpose of the elective?

What is the location of the elective?

Is the elective to be carried out in conjunction with any other organization? If so, who?

What are the dates of your elective?

Please briefly state the element of the Christian faith in your elective and why CDF should support you in this elective.

We ask that you submit some supporting documentation for your elective; this should be from the organization you are serving with, as well as a letter from your dental school with approval for your elective. Please email to cdfadmin@cdf-uk.org

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