2018 ADA Foundation Dental Student Scholarship

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1 2018 Dental Student Scholarship Scholarship Guidelines Purpose, Description, and Objectives: The Dental Student Scholarship Program is designed to recognize dental students who are strong academically; and who demonstrate outstanding promise in leadership, public service/volunteerism, and/or research. In 2018 the will award up to seven scholarships valued at up to $20,000 each through its Dental Student Scholarship Program. The scholarships are available to all eligible dental students (must be a U.S. citizen) enrolled in accredited U.S. dental schools. Eligibility Criteria: In order to be eligible for consideration for these scholarships, an applicant must: Be a U.S. citizen; Be enrolled full time in the second year of study at the time of application, in a U.S. CODA accredited dental school; Have a minimum cumulative grade point average of 3.25 based on a 4.0 scale. In order for an applicant to be considered for scholarship support, applications must be complete and submitted by 11:59 pm CT on Friday, February 2, Scholarship Agreement: Each scholarship recipient will be required to sign a Scholarship Agreement consenting to the terms of the award and confirming that all information submitted is accurate Additional Information: Students will be notified of the scholarship status in April. If you have any questions or need additional information, please contact Tracey Schilligo, Grants Manager, at or schilligot@ada.org. Student Information Applicant's Name* Character Limit: 100 School Name* Use the drop down box to identify your Dental School Dental Student Scholarship 1

2 Choices University of Alabama School of Dentistry at UAB Midwestern University College of Dental Medicine- Arizona A.T. Still University Arizona School of Dentistry and Oral Health Loma Linda University School of Dentistry Herman Ostrow School of Dentistry of USC University of California at Los Angeles School of Dentistry Western University of Health Sciences College of Dental Medicine University of the Pacific Arthur A. Dugoni School of Dentistry University of California at San Francisco School of Dentistry University of Colorado Denver School of Dental Medicine University of Connecticut School of Dental Medicine Howard University College of Dentistry LECOM College of Dental Medicine Nova Southeastern University College of Dental Medicine University of Florida College of Dentistry The Dental College of Georgia at Augusta University University of Iowa College of Dentistry Southern Illinois University School of Dental Medicine University of Illinois at Chicago College of Dentistry Midwestern University College of Dental Medicine- Illinois Indiana University School of Dentistry University of Kentucky College of Dentistry University of Louisville School of Dentistry Louisiana State University School of Dentistry Tufts University School of Dental Medicine Harvard University School of Dental Medicine Boston University Goldman School of Dental Medicine University of Maryland School of Dentistry University of New England College of Dental Medicine University of Michigan School of Dentistry University of Detroit Mercy School of Dentistry University of Minnesota School of Dentistry University of Missouri-Kansas City School of Dentistry Missouri School of Dentistry and Oral Health University of Mississippi School of Dentistry University of North Carolina at Chapel Hill School of Dentistry East Carolina University School of Dental Medicine University of Nebraska Medical Center College of Dentistry Creighton University School of Dentistry Rutgers School of Dental Medicine University of Nevada Las Vegas School of Dental Medicine University of Buffalo School of Dental Medicine Touro College of Dental Medicine at New York Medical College (NYMC) New York University College of Dentistry Columbia University College of Dental Medicine Stony Brook University School of Dental Medicine Case Western Reserve Univ. School of Dental Medicine 2018 Dental Student Scholarship 2

3 Ohio State University College of Dentistry University of Oklahoma College of Dentistry Oregon Health and Science University School of Dentistry University of Pennsylvania School of Dental Medicine Temple University The Maurice H. Kornberg School of Dentistry University of Pittsburgh School of Dental Medicine University of Puerto Rico School of Dental Medicine Medical University of South Carolina James B. Edwards College of Dental Medicine University of Tennessee College of Dentistry Meharry Medical College School of Dentistry Texas A&M University College of Dentistry The University of Texas School of Dentistry at Houston UT Health Science Center School of Dentistry, San Antonio University of Utah School of Dentistry Roseman University of Health Sciences College of Dental Medicine Virginia Commonwealth University School of Dentistry University of Washington School of Dentistry Marquette University School of Dentistry West Virginia University School of Dentistry Student School ID Number* Character Limit: 50 U.S. Citizen* Choices Yes No Student Dental School GPA* Indicate your current dental school GPA on a 4.0 scale. For schools using a Pass/Fail system input a P for pass and an F for fail or for schools using a Satisfactory/Unsatisfactory system input an S for satisfactory and a U for Unsatisfactory in the box below. Character Limit: 10 Please Provide the Name and Address for the Following: Associate / Assistant Dean of Student Affairs or Academic Affairs* Name and Title Character Limit: 150 of Associate / Assistant Dean of Student Affairs or Academic Affairs* Character Limit: 254 Financial Aid Officer:* Name and Title 2018 Dental Student Scholarship 3

4 Character Limit: 150 of Financial Aid Officer:* Character Limit: 254 Who are you: Background Questions The following three questions are an opportunity for the to get to know you on a more personal level. Please respond to the questions below. Why do you want to become a dentist?* Character Limit: 1500 What are your career aspirations after you earn your dental degree?* Character Limit: 1500 What, if anything else, would you like the to know about you? Character Limit: 1000 Accomplishments ACCOMPLISHMENTS Detail in an essay form and provide specific examples of your accomplishments and qualifications in the following areas, if applicable. Do not repeat accomplishments in more than one category. Academic Accomplishments Leadership Accomplishments Research Accomplishments Service / Volunteer Accomplishments Explain Why This Scholarship is Important to You.* Provide reasons other than education-related debt Dental Student Scholarship 4

5 Financial Need Assessment Financial Need Assessment* Please complete this Financial Needs Assessment form by downloading the template HERE. It must be signed by a dental school financial aid officer and then uploaded to your application. File Size Limit: 3 MB Attachments Reference Letter #1: Must be from a School Representative* Letter must be on letterhead and include a print signature. File Size Limit: 2 MB Reference Letter #2 : Reference can be any person of applicant's choosing* Letter must be on letterhead and include a print signature. File Size Limit: 2 MB Curriculum Vitae* File Size Limit: 5 MB Current Transcript* Transcript must list current dental school GPA or similar school system indicator. File Size Limit: 5 MB Applicant Statement I hereby affirm that all of the information contained herein is correct, and that I am a U.S. citizen. I am currently enrolled and in my second year in a predoctoral course of studies to obtain a dental degree at an institution accredited by the Commission on Dental Accreditation of the American Dental Association. I understand that misrepresentation, fraud, or omission of facts is cause for disqualification or suspension of a scholarship. By submitting this application, all components of the Dental Student Scholarship application, including attachments, may be used by the for promotional use Dental Student Scholarship 5

6 Signature* Type your name in lieu of an actual signature. Character Limit: 50 Date* Character Limit: Dental Student Scholarship 6

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