2025 DDSLI Application

Questions with an asterisk (*) are required.

First Name*

Last Name*

Email Address*

NetID*

Cell Phone Number

Personal Reflection Questions

1. Describe leadership opportunities you experienced in high school, college, or graduate school, during employment, with community organizations, in the military, or in other settings.*

2. Why do you desire to participate in the Dental Student Leadership Institute, and what goals do you hope to achieve during this program?*

3. Based on self-assessment of your leadership experiences to date, what aspects of leadership do you hope to develop or enhance in the DDSLI?*

Essay Questions

Essay 1: Identify and discuss leadership challenges facing dentistry in the next decade. (300 - 500 words)*

Essay 2: Focusing on one of the leadership activities you previously described in this application, identify, and discuss important insights or lessons you learned about leadership during this experience. (300 - 500 words)*

Please upload a copy of your resume, which includes any leadership and involvement experiences you have had in high school, college, or graduate school, during employment, with community organizations, in the military, or in other settings. *

Please explain:*

Applicant Affirmation

I understand that my application is not regarded as complete until all requested documents have been received; therefore, it is in my interest to see that these documents are submitted as promptly as possible.

I understand that I must meet certain qualifications to be eligible for admission to the Dental Student Leadership Institute and continuation in the Institute, including that I: must be in good academic standing; have no course failures or remediation; cannot be on Monitored Status at the time of the experience, and have not been found responsible for violations of the NYU Dentistry Code of Ethics and Professional Conduct; and availability for special DDSLI activities and events including summer retreats and workshops, internships, off-campus interviews or meetings with oral health leaders, and project planning activities with student peers.

I certify that the information in this application is complete and correct to the best of my knowledge and belief and that submission of any false information is grounds for rejection of my application, withdrawal of any offer of acceptance, or dismissal from the NYU Dentistry Dental Student Leadership Institute. I understand that the information supplied in this application is subject to verification.

E-Signature *

Please describe any exceptions to the above declarations