Donation Pledge Form

Dental assistants are integral members of the dental team. In addition to serving as the backbone of the dental office, these professionals ensure patients receive the utmost care and attention. Help the American Dental Assistants Association (ADAA) continue to foster an environment of growth, learning, and awareness with these two great giving opportunities.
Choose between contributing to our Professional Dental Assistants Education Foundation (PDAEF), Dental Assistance Recognition Week (DARW), or a direct gift to ADAA. Your contribution supports dental assistants across the country.

A Note About DARW Donations Leading Up to and During This Special Week

You can also support the association and DARW by making a donation in honor of an outstanding dental assistant. Your honoree will receive a special spotlight in ADAA communications and on social media highlighting the contributions and impact they've made to your dental team and patients served.
To be eligible for this special spotlight, donations must equal $100 or greater. DARW donations support the efforts of PDAEF and advance online continuing educational programs for dental assistants.


Donation Categories



Basic Contact Information

ADAA Number:
First Name:
Last Name:


Choose how you would like to donate your funds:
Donation Amount:$
In Honor Of:
   - denotes required fields