Self Service Portal

inactivated code ended cvincentn 9-8-2021 -->

My ADEA
Membership
Events
ADEA Connect
ADEA DentEd Jobs
Store
Cart
Log In

Username (email is suggested)*
[Enter password twice | 5-16 characters]
Password*
Repeat *

Email*
Repeat Email*
Prefix*
First Name*
Middle Name (first intial OK)
Last Name*
Suffix
Addr1ty*
Address Line 1*
Address Line 2
City*
State*
Postal Code*
Country*

Phone
Degree(s)

add degree(s) or reset

D.D.S.
D.M.D.
B.D.S.
D.H.Sc.
D.M.Sc.
Dr.P.H.
LDH
RDH
Ph.D.
M.P.H.
M.S.
Ed.D.
A.A.

M.Sc.
GS-ED
J.D.
LHD
M.A.
M.B.A.
M.D.
M.Ed.
M.H.P.

M.H.S.
M.H.S.A.
M.M.Sc.
M.S.D.H.
A.A.S.
A.S.
B.A.
B.A.S.-D.H.
B.L.S./B.S.
B.S.

B.S.A.H.
B.B.A.
B.S.-D.H.
B.S.-D.H.E.
B.S.-G.S.
B.S.H.A.
B.S.H.E.
D.O.
B.S-P.H.

D.C.
D.V.M.
M.P.A.

Demographics

Status*

Optional - Please indicate your race/ethnicity (as many as may apply).

Race/Ethnicity
- American Indian/Alaska Native
- Arab
- Asian
- Black/African American
- Hispanic/Latinx
- Native Hawaiian/Other Pacific Islander
- Nonresident Alien
- White/Caucasian
- Métis (Canada only)
- Multiple Visible Minority (Canada only)
- Non-Aboriginal/Non-Indigenous (Canada only)
- First Nation (Canada only)
- Inuit (Canada only)
- Not a Visible Minority (Canada only)
- Other:
- Prefer not to say

Optional - If you are of Latinx/Hispanic cultural origin, make a selection below (as many as may apply)

Latinx/Hispanic Origin
- Cuban
- Mexican, Mexican American, Chicano/Chicana
- Puerto Rican
- South or Central American
- Other Spanish culture or origin:
- Does not apply

Professional Information

To meet ADA CERP reporting requirements, ADEA would like to know if you are a dentist.

Are you a dentist?*

Are you a Dental Educator?*

If you are a dental educator, how many years have you been a

Primary Appointment*

Please indicate your Primary Discipline.*

Follow Us On:
Home
|
Contact Us
|
ADEA Privacy Policy
|
Terms of Use
|
Website Feedback
|
Website Help

©2013-2024 American Dental Education Association^® (ADEA) | 655 K Street, NW, Suite 800, Washington, DC 20001 | 202-289-7201