AGD Region 17 CE Classroom Opt-In
Purpose: Fill out this Form to opt-in to the AGD Region 17 CE Google Classroom, if you are an emeritus or retired member interested in this benefit. By default, all active Region 17 members have access. If you are an active member and opted out in the past, you may use this Form to opt back in.

Instructions: Enter your AGD number and the email address associated with your AGD account. If they match our current membership roster, the email address will be invited to the Classroom.

Notes:

-If you do not have an email address associated with your AGD account, please leave that field blank.

-If you use a different email address for Google Classroom than the one below, use the companion "Link AGD and Google Classroom Emails" Form on our website to ensure the correct email address is recorded and invited for Classroom access purposes.

-You may receive an email at the address entered on this form for notification purposes.
Sign in to Google to save your progress. Learn more
What is your AGD Number? *
What email address is associated with your AGD membership? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Academy of General Dentistry Region 17.

Does this form look suspicious? Report

Google Forms