Register as a Volunteer

Online Registration PAGE 1

This is the FIRST PAGE of the Volunteer Registration form. After completing this page please click the Edit Profile button on the SECOND PAGE to complete your volunteer registration.

For volunteer questions or additional information, please contact the Indiana Dental Association Central Office at 800-562-5646.

Your display name will appear here.
Password must be at least 7 characters long. To make it stronger, use upper and lower case letters, numbers and symbols.
Type your password again.
Strength Indicator
Personal Information 
Only volunteers 18 years or older will be allowed on the clinic floor. Non-patient related positions will be available for those under 18.
I certify that I have READ and AGREE TO the Liability and Insurance Guidelines and Waiver (here).