POSTDOCTORAL DENTAL MATCHING PROGRAM

Sponsors

American Academy of Pediatric Dentistry	American Association of Oral & Maxillofacial Surgeons	American Association of Orthodontists
American Association of Hospital Dentists	American Society of Dentist Anesthesiologists	American Student Dental Association

APPLICANT AGREEMENT

I plan to apply for a postdoctoral dental position, to start between April 1 and December 31, 2011, for the first year of training in one or more programs that participate in the Postdoctoral Dental Matching Program (the “Match”). I agree to participate in and to abide by the policies of the Match. Specifically, I agree:

1. To abide by the Schedule of Dates of the Match as shown on the Match web site (www.natmatch.com/dentres), which is incorporated by reference in and is an integral part of this Agreement.

2. To provide complete and accurate information to programs to which I apply.

3. Not to make any commitments to or contracts with any participating program prior to the release of the Match results. If I choose to accept a position at a program that is not participating in the Match, or decide not to participate in the Match for any other reason, then I will submit a withdrawal from the Match and will NOT submit a Rank Order List for the Match.

4. To accept appointment to the program with which I am matched. The program will send a letter of confirmation of the Match result to me, which I must sign and return to the program within 30 days of the release of the Match results.

5. To pay a non-refundable, non-transferrable applicant fee of $80.00 U.S. to register for the Match for positions beginning in 2011.

I understand that I am free to make personal contacts with any participating program in which I am interested, and to apply to as many of these programs as I wish, and to rank them according to my judgement. If I submit a Rank Order List for Phase I of the Match, I may rank only programs participating in Phase I of the Match on my Phase I Rank Order List. If I am matched in Phase I, I understand that I will not be permitted to submit a Rank Order List for Phase II of the Match. If I do not submit a Rank Order List for Phase I, or if I am not matched in Phase I, I may submit a Rank Order List for Phase II on which I may rank only programs participating in Phase II of the Match.

I understand that I may freely discuss any matter with a program and that I and the program may express a high level of interest in each other. However, a participating program must not disclose to me or solicit from me information regarding specific ranking intentions. I also understand that I have no right to request that a program inform me as to how it intends to rank me. Furthermore, any expression of interest made during the discussion between me and a program is subject to change based on further considerations. Both the program and I have the right to change our minds at any time prior to the submission of the Rank Order Lists.

For the purposes of the Match, my Rank Order List is to be the sole determinant of the order of preference among the programs to which I have applied. Similarly, for the purposes of the Match, the Rank Order List submitted by each program is to be the sole determinant of the program's order of preference among the applicants to the program.

I understand and agree that information concerning my participation in the Match, including my Match result, may be provided to me electronically.

I understand that the result I obtain in the Match, whether I am matched or not and to which program I have been matched, may be reported to my dental school, to programs participating in the Match, and to others, either by mail or electronically.

I understand that my appointment to the program to which I am matched may be contingent on my satisfying eligibility requirements for appointment specified by the institution and program.

I understand that the sponsoring organizations of the Postdoctoral Dental Matching Program possess beneficiary standing to enforce this Agreement, and violations of the terms of this Agreement will be reported to the appropriate sponsoring organizations. I understand that if I violate any of the terms of this Agreement, such as refusing to accept a position at a program to which I have been matched, the sponsoring organizations may pursue all available remedies, including reporting my actions to my dental school or to other Match participants. Even if I receive a written release from the program, the sponsoring organizations may impose penalties on me, such as cancellation or denial of memberships in the sponsoring organizations, and barring me from participation in future Matches.