{"id":15955,"date":"2016-04-22T11:37:49","date_gmt":"2016-04-22T11:37:49","guid":{"rendered":"http:\/\/d114.iampshipyard.com\/?page_id=15955"},"modified":"2017-09-11T12:52:36","modified_gmt":"2017-09-11T12:52:36","slug":"nominate","status":"publish","type":"page","link":"https:\/\/aidental.org\/nominate\/","title":{"rendered":"Nominate"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/26vYc3m8p6g\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>\n<span style=\"color: #4a4a4a;\">If you are a patient or fellow\u00a0Dental Professional\u00a0and feel that a <span style=\"color: #4a4a4a;\">Dental Professional<\/span> deserves the \u201c10 Best\u201d Award please fill out the below. All nominations will remain confidential.<\/span><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6015-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/15955#wpcf7-f6015-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"6015\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6015-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>*Dental Professional's name:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n<\/p>\n<p>*Dental Professional's State of practice:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AttorneysStateofpractice\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"AttorneysStateofpractice\" \/><\/span>\n<\/p>\n<p>*Dental Professional's website:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Attorneyswebsite\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Attorneyswebsite\" \/><\/span>\n<\/p>\n<p>*Dental Professional's office name:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Attorneyslawfirmname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Attorneyslawfirmname\" \/><\/span>\n<\/p>\n<p>Reason for nominating Dental Professional:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ReasonfornominatingAttorney\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"ReasonfornominatingAttorney\"><\/textarea><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-831\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-831[]\" value=\"Patient\" \/><span class=\"wpcf7-list-item-label\">Patient<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-831[]\" value=\"Fellow Dental Professional\" \/><span class=\"wpcf7-list-item-label\">Fellow Dental Professional<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-831[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p>*Name of Person Making Nomination:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NameofPersonMakingNomination\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NameofPersonMakingNomination\" \/><\/span>\n<\/p>\n<p>*Nominated Person's Email:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NominatedPersonsEmail\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NominatedPersonsEmail\" \/><\/span>\n<\/p>\n<p>*Nominating For:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nominatingfor\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Nominatingfor[]\" value=\"Top 10\" \/><span class=\"wpcf7-list-item-label\">Top 10<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Nominatingfor[]\" value=\"10 Best Under 40\" \/><span class=\"wpcf7-list-item-label\">10 Best Under 40<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Nominatingfor[]\" value=\"10 Best Offices\" \/><span class=\"wpcf7-list-item-label\">10 Best Offices<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Nominatingfor[]\" value=\"10 Best Female Dental Professional\" \/><span class=\"wpcf7-list-item-label\">10 Best Female Dental Professional<\/span><\/span><\/span><\/span>\n<\/p>\n<p>*Verification Email Address:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"VerificationEmailAddress\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"VerificationEmailAddress\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/><input type=\"reset\" value=\"Reset\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>If you are a patient or fellow\u00a0Dental Professional\u00a0and feel that a Dental Professional deserves the \u201c10 Best\u201d Award please fill out the below. All nominations will remain confidential.<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/pages\/15955"}],"collection":[{"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/comments?post=15955"}],"version-history":[{"count":0,"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/pages\/15955\/revisions"}],"wp:attachment":[{"href":"https:\/\/aidental.org\/wp-json\/wp\/v2\/media?parent=15955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}