{"id":480,"date":"2025-09-22T17:03:47","date_gmt":"2025-09-22T17:03:47","guid":{"rendered":"https:\/\/abagd.org\/?page_id=480"},"modified":"2025-09-22T17:03:47","modified_gmt":"2025-09-22T17:03:47","slug":"accreditation-application","status":"publish","type":"page","link":"https:\/\/abagd.org\/?page_id=480","title":{"rendered":"Accreditation application"},"content":{"rendered":"\n<!-- ========== ABAGD \u2022 EXAM APPLICATION (standalone page \u2022 updated per request) ========== -->\n<style>\n  :root{\n    --bg:#ffffff; --ink:#111111; --muted:#666666; --line:#e5e7eb; --soft:#f7f7f8; --accent:#111111;\n    --shadow:0 1px 2px rgba(0,0,0,.06); --radius:16px;\n  }\n  .abagd-wrap{max-width:900px;margin:0 auto;padding:32px 20px 48px;background:var(--bg);color:var(--ink);\n    font:16px\/1.65 system-ui,-apple-system,Segoe UI,Inter,Roboto,Arial}\n  .abagd-title{font-family:ui-serif,Georgia,\"Times New Roman\",Times,serif;font-weight:700;letter-spacing:.2px;\n    font-size:clamp(2rem,1.8vw+1.1rem,2.6rem);margin:.2rem 0 .4rem}\n  .abagd-lead{color:var(--muted);max-width:78ch}\n  .muted{color:var(--muted)}\n\n  .section{border:1px solid var(--line);border-radius:var(--radius);padding:18px;margin-top:14px;background:#fff}\n  .grid{display:grid;gap:12px;grid-template-columns:repeat(12,1fr)}\n  .col-4{grid-column:span 4}.col-6{grid-column:span 6}.col-8{grid-column:span 8}.col-12{grid-column:span 12}\n  @media(max-width:920px){.col-4,.col-6,.col-8{grid-column:span 12}}\n  .abagd-h2{font-family:ui-serif,Georgia,\"Times New Roman\",Times,serif;font-size:1.35rem;margin:.2rem 0 .6rem}\n  .abagd-h3{font-family:ui-serif,Georgia,\"Times New Roman\",Times,serif;font-size:1.05rem;margin:1rem 0 .45rem}\n\n  .field{display:flex;flex-direction:column;gap:6px}\n  .field label{font-weight:600}\n  .input, .select, textarea{border:1px solid var(--line);border-radius:12px;background:#fff;padding:12px;font:inherit;color:inherit}\n  textarea{min-height:120px;resize:vertical}\n  .checkbox-card{border:1px solid var(--line);border-radius:12px;padding:12px;background:#fff}\n\n  .btn{display:inline-flex;align-items:center;gap:.5rem;border-radius:999px;padding:.7rem 1rem;\n    font-weight:700;border:1px solid var(--line);background:#fff;color:var(--ink);text-decoration:none;cursor:pointer}\n  .btn.primary{background:var(--accent);border-color:var(--accent);color:#fff}\n  .btn:hover{transform:translateY(-1px)}\n<\/style>\n\n<section class=\"abagd-wrap\" id=\"abagd-application\">\n  <h1 class=\"abagd-title\">ABAGD Exam \u2014 Online Application<\/h1>\n  <p class=\"abagd-lead\">Fields marked * are required. For assistance, email <a href=\"mailto:contact@abagd.org\">contact@abagd.org<\/a>.<\/p>\n\n  <!-- 1. Personal Information -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">1) Personal Information<\/h2>\n    <div class=\"grid\">\n      <div class=\"field col-6\"><label for=\"fullName\">Full Name*<\/label><input id=\"fullName\" class=\"input\" required><\/div>\n      <div class=\"field col-6\"><label for=\"dob\">Date of Birth*<\/label><input id=\"dob\" class=\"input\" type=\"date\" required><\/div>\n\n      <div class=\"field col-12\"><label for=\"nationality\">Nationality<\/label><input id=\"nationality\" class=\"input\"><\/div>\n\n      <div class=\"field col-4\"><label for=\"email\">Email*<\/label><input id=\"email\" class=\"input\" type=\"email\" required><\/div>\n      <div class=\"field col-4\"><label for=\"mobile\">Mobile\/WhatsApp*<\/label><input id=\"mobile\" class=\"input\" required><\/div>\n      <div class=\"field col-4\"><label for=\"address\">Postal Address*<\/label><input id=\"address\" class=\"input\" required><\/div>\n    <\/div>\n  <\/div>\n\n  <!-- 2. Professional Registration -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">2) Professional Registration<\/h2>\n    <div class=\"grid\">\n      <div class=\"field col-4\"><label for=\"authority\">License Authority*<\/label><input id=\"authority\" class=\"input\" required><\/div>\n      <div class=\"field col-4\"><label for=\"licNo\">License Number*<\/label><input id=\"licNo\" class=\"input\" required><\/div>\n      <div class=\"field col-4\"><label for=\"licExp\">License Expiry*<\/label><input id=\"licExp\" class=\"input\" type=\"date\" required><\/div>\n    <\/div>\n  <\/div>\n\n  <!-- 3. Education & Training -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">3) Education &amp; Training<\/h2>\n    <div class=\"grid\">\n      <div class=\"field col-4\"><label for=\"degree\">Dental Degree (school &amp; year)*<\/label><input id=\"degree\" class=\"input\" required><\/div>\n      <div class=\"field col-4\"><label for=\"pg\">Postgraduate Programs\/Residencies<\/label><input id=\"pg\" class=\"input\"><\/div>\n      <div class=\"field col-4\"><label for=\"boards\">Board Certifications\/Memberships<\/label><input id=\"boards\" class=\"input\"><\/div>\n    <\/div>\n  <\/div>\n\n  <!-- 4. Practice Experience -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">4) Practice Experience<\/h2>\n    <div class=\"grid\">\n      <div class=\"field col-4\"><label for=\"years\">Years in Practice*<\/label><input id=\"years\" class=\"input\" type=\"number\" min=\"0\" required><\/div>\n      <div class=\"field col-4\"><label for=\"setting\">Primary Practice Setting*<\/label><input id=\"setting\" class=\"input\" required><\/div>\n      <div class=\"field col-4\"><label for=\"focus\">Focus Areas<\/label><input id=\"focus\" class=\"input\"><\/div>\n\n      <div class=\"field col-6\"><label for=\"ceHours\">CE Hours (last 24 mo)*<\/label><input id=\"ceHours\" class=\"input\" type=\"number\" min=\"0\" required><\/div>\n      <div class=\"field col-6\"><label for=\"ceSummary\">CE Summary \/ Certificates*<\/label><input id=\"ceSummary\" class=\"input\" placeholder=\"Attach or provide link\" required><\/div>\n    <\/div>\n  <\/div>\n\n  <!-- 5. Exam Registration -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">5) Exam Registration<\/h2>\n    <div class=\"grid\">\n      <div class=\"field col-6\">\n        <label for=\"yearPref\">Part I Written Exam* <\/label>\n        <select id=\"yearPref\" class=\"input\" required>\n          <option value=\"\">Select<\/option> <option>2026<\/option><option>2027<\/option>\n        <\/select>\n      <\/div>\n\n      <div class=\"field col-6\">\n        <label for=\"oralYear\">Part II Oral Exam* <\/label>\n        <select id=\"oralYear\" class=\"input\">\n          <option value=\"\">Select<\/option><option>2026<\/option><option>2027<\/option>\n        <\/select>\n      <\/div>\n\n\n      <div class=\"field col-12\">\n        <label for=\"accom\">Accommodation Request (optional)<\/label>\n        <input id=\"accom\" class=\"input\" placeholder=\"If applicable\">\n      <\/div>\n    <\/div>\n    <p class=\"muted\" style=\"margin-top:.4rem\">Note: Part II scheduling occurs only after eligibility and Part I results.<\/p>\n  <\/div>\n\n  <!-- 6. Ethics & Attestations -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">6) Ethics &amp; Attestations<\/h2>\n    <div class=\"checkbox-card\" style=\"margin-bottom:8px\">\n      <label><input type=\"checkbox\" id=\"eth1\" required> I attest that I am in good standing with my licensing authority and agree to abide by ABAGD policies, security rules, and Code of Ethics.<\/label>\n    <\/div>\n    <div class=\"checkbox-card\">\n      <label><input type=\"checkbox\" id=\"eth2\" required> I certify that all information submitted is true, complete, and accurate to the best of my knowledge.<\/label>\n    <\/div>\n  <\/div>\n\n  <!-- 8. Payment -->\n  <div class=\"section\">\n    <h2 class=\"abagd-h2\">8) Payment<\/h2>\n    <p class=\"muted\">An invoice and payment <strong>options<\/strong> will be sent after review and approval. Do not send card details by email.<\/p>\n    <div style=\"margin-top:8px\">\n      <button type=\"button\" class=\"btn primary\" id=\"submitEmail\">Submit via Email<\/button>\n      <button type=\"button\" class=\"btn\" onclick=\"window.print()\">Save\/Print Application<\/button>\n      <a class=\"btn\" href=\"mailto:contact@abagd.org\">Ask a Question<\/a>\n    <\/div>\n  <\/div>\n\n  <div style=\"margin-top:14px\">\n    <a class=\"btn\" href=\"\/accreditation\/\">\u2190 Back to Accreditation<\/a>\n  <\/div>\n<\/section>\n\n<script>\n(function(){\n  function val(id){var el=document.getElementById(id);return el?String(el.value||\"\").trim():\"\"}\n  function yes(id){var el=document.getElementById(id);return el?!!el.checked:false}\n\n  function requiredOk(){\n    var req = [\n      'fullName','dob','email','mobile','address',\n      'authority','licNo','licExp',\n      'degree',\n      'years','setting','ceHours','ceSummary',\n      'yearPref','oralReg','eth1','eth2'\n    ];\n    var missing = req.filter(function(id){\n      var el=document.getElementById(id);\n      if(!el) return true;\n      if(el.type==='checkbox') return !el.checked;\n      return !String(el.value||'').trim();\n    });\n    if(missing.length){\n      alert('Please complete all required (*) fields before submitting.');\n      return false;\n    }\n    return true;\n  }\n\n  function bodyText(){\n    return encodeURIComponent(\n`ABAGD Application\n==================\n\n1) Personal\n- Full Name: ${val('fullName')}\n- DOB: ${val('dob')}\n- Nationality: ${val('nationality')}\n- Email: ${val('email')}\n- Mobile: ${val('mobile')}\n- Address: ${val('address')}\n\n2) Professional Registration\n- Authority: ${val('authority')}\n- License Number: ${val('licNo')}\n- Expiry: ${val('licExp')}\n\n3) Education & Training\n- Dental Degree: ${val('degree')}\n- Postgrad\/Residencies: ${val('pg')}\n- Boards\/Memberships: ${val('boards')}\n\n4) Practice Experience\n- Years in Practice: ${val('years')}\n- Primary Setting: ${val('setting')}\n- CE Hours (24 mo): ${val('ceHours')}\n- CE Summary (link\/attachment): ${val('ceSummary')}\n- Focus Areas: ${val('focus')}\n\n5) Exam Registration\n- Part I Preferred Year: ${val('yearPref')}\n- Part II (Oral) Registration: ${val('oralReg')}\n- Part II (Oral) Preferred Year: ${val('oralYear')}\n- Oral Exam Notes\/Availability: ${val('oralNotes')}\n- Accommodation Request: ${val('accom')}\n\n6) Attestations\n- Good standing & Code of Ethics: ${yes('eth1')?'Yes':'No'}\n- Truth & Accuracy: ${yes('eth2')?'Yes':'No'}\n\n(Please attach CE certificates and documentation where applicable.)`\n    );\n  }\n\n  var btn=document.getElementById('submitEmail');\n  if(btn){\n    btn.addEventListener('click', function(){\n      if(!requiredOk()) return;\n      window.location.href='mailto:contact@abagd.org?subject=ABAGD%20Application&body='+bodyText();\n    });\n  }\n})();\n<\/script>\n<!-- ========== END Application Page (updated) ========== -->\n\n\n","protected":false},"excerpt":{"rendered":"<p>ABAGD Exam \u2014 Online Application Fields marked * are required. For assistance, email contact@abagd.org. 1) Personal Information Full Name* Date of Birth* Nationality Email* Mobile\/WhatsApp* Postal Address* 2) Professional Registration License Authority* License Number* License Expiry* 3) Education &amp; Training Dental Degree (school &amp; year)* Postgraduate Programs\/Residencies Board Certifications\/Memberships 4) Practice Experience Years in Practice* [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-no-title","meta":{"footnotes":""},"class_list":["post-480","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Accreditation application - The American Board of Advanced General Dentistry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/abagd.org\/?page_id=480\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Accreditation application - The American Board of Advanced General Dentistry\" \/>\n<meta property=\"og:description\" content=\"ABAGD Exam \u2014 Online Application Fields marked * are required. 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