2021 Academy of LDS Dentists Scholarship Application Form - Dental Students
ANNUAL CONFERENCE SCHOLARSHIP: This is a unique scholarship that provides an exceptional opportunity for a dental student to attend the Academy of LDS Dentists 44th Annual Conference on August 13-14, 2021 in Provo, Utah. The awarded funds can be used to reimburse conference registration fees and 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 AND $1,500 check payment AFTER full conference attendance.

AS THIS IS A CONFERENCE SCHOLARSHIP, PLEASE CHECK YOUR SCHEDULE AND MAKE SURE THE DATES OF AUGUST 13-14, 2021 ARE OPEN ON YOUR CALENDAR TO ATTEND BOTH FULL DAYS OF THE CONFERENCE, ending at 5:30 p.m. on Saturday, Aug. 14th. Visit academyofldsdentists.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 Academy of LDS Dentists. 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 ademyofldsdentists.com/join and follow the prompts to register as a student member of the Academy by April 15th, 2021

2. Have completed at least three years of dental school before conference dates (at least current junior 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, 2021. Follow-up with them to make sure they send the letter to scholarships@academyofldsdentists.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, 2021. 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, 2021. Enrollment as a student member in the Academy of LDS Dentists must also be completed by April 15th, 2021. If unsure of your membership, e-mail Kristen at academyofldsdentists@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, 2021.
Name (Last, First) *
Address #1 *
Address #2
Apt. or Ste Number
City *
State *
Zip Code *
E-mail Address *
Phone Number *
Undergraduate Institution, Graduation Date, and Degree *
Name of Dental School *
GPA/Class Standing *
Expected Graduation Date *
(from Dental School)
Age *
If Married, Please Provide Spouse Name *
(If not married, enter N/A)
If Married and Your Spouse Works, Please Provide Details *
(If not married, enter N/A)
Number of Children and Ages
(if applicable)
Service/Volunteer Experience *
(Since entering dental school)
Personal Comments Section (200 word limit) *
(Please comment on your qualifications for this scholarship. Include any or all of the following: financial need, accomplishments at school; leadership opportunities; research, and other information you feel would be helpful for the scholarship committee).
I have previously received the Academy "Annual Conference" scholarship *
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