2023 Ensign Academy of Dentistry DENTAL STUDENT Scholarship Application Form
This is a unique scholarship that provides an exceptional opportunity for a dental student and his/her spouse to attend the Ensign Academy of Dentistry 46th Annual Conference on August 11-12, 2023 in Provo, Utah.  Funds awarded through the scholarship can be used to reimburse travel expenses incurred by the student and/or spouse to attend the annual conference, or for whatever other financial needs the student may have.

Amount of Annual Conference Scholarship award: Conference registration fees for student and spouse AND $1,500 check payment to be delivered AFTER full conference attendance.

As this scholarship is awarded dependent upon attendance at the conference, PLEASE CHECK YOUR SCHEDULE AND MAKE SURE THE DATES OF AUGUST 11 -12, 2023 ARE OPEN ON YOUR CALENDAR TO ATTEND BOTH FULL DAYS OF THE  CONFERENCE.  The conference begins Friday, 8/11/2023, ending at 5:30 p.m. on Saturday, Aug. 12th. Visit ensignacademyofdentistry.com to learn more about the Academy and the conference.

**Attendance at the conference is required for the scholarship to be awarded (further instructions will be provided to recipients).

1. Be a current 'Student Member' of the Ensign Academy of Dentistry. There is no charge for student membership, but it is required to be eligible for the scholarship. If you haven't already done so, visit  ensignacademyofdentistry.com/join and follow the prompts to register as a student member of the Academy by April 15th, 2023

2. Have completed at least two years of dental school before conference dates (at least current sophomore standing).

3. Have no previous award of Academy "Annual Conference" scholarship.

1.  Fill out the application form below, review for accuracy, and click on "Submit".
2.  Request a letter of recommendation from your current dental advisor, mentor, or ecclesiastical leader. Give them plenty of notice and confirm that they know the deadline of April 15th, 2023. Follow-up with them to make sure they send the letter to ensignacademyofdentistry@gmail.com.

**It is the applicant's responsibility to confirm that all pieces of the application are received by the Academy by the deadline of April 15th, 2023. Incomplete applications will not be able to be considered for the scholarship.

Each of the above items (online application and letter of recommendation) MUST be received no later than April 15th, 2023. Enrollment as a student member in the Ensign Academy of Dentistry must also be completed by April 15th, 2023. If unsure of your membership status e-mail Kristen at ensignacademyofdentistry@gmail.com to confirm.

The Scholarship Review Committee will evaluate each application with careful and thoughtful contemplation. Recipients of scholarship awards will be notified by May 30th, 2023.
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Full Name *
Full Address *
E-mail Address *
Mobile Phone Number (textable) *
Name of Dental School *
Expected Graduation Date *
(from Dental School)
Active in Academy Student Chapter *
Service and/or Volunteer Experience while in dental school *
Tell us something interesting about you, your family, your interests or hobbies etc. (50 word limit)
Personal Comments Section (200 word limit) *
Please let us know why you should be chosen for this scholarship. Include any or all of the following: Qualifications, Financial need, Accomplishments at school, Accomplishments outside of school, Leadership opportunities, Research, and other information you feel would be helpful for the scholarship committee when making their selections.
I have previously received the Academy "Annual Conference" scholarship *
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