2021 Academy of LDS Dentists Scholarship Application Form - Hygiene Students
SCHOLARSHIP FOR DENTAL HYGIENE STUDENTS:
ANNUAL CONFERENCE SCHOLARSHIP WITH $1000 SCHOLARSHIP CHECK: Dental Hygiene students receive free conference registration for the Academy of LDS Dentists annual conference on August 13-14, 2021, held in Provo, Utah and a $1000 scholarship after the conference. The money can be used any way the recipient desires.
**Please note: Recipients of the scholarship must attend the full conference to be eligible for the scholarship.

CANDIDATES MUST COMPLETE THE FOLLOWING:
**Have completed at least one semester of dental hygiene school before conference date of August 13, 2021;
**Have at least one full semester left after the August 2021 conference;
**Submit letter of recommendation from ecclesiastical leader or hygiene school advisor
**Be a student member of the Academy of LDS Dentists. (Membership is FREE, but it is required. To register, visit academyofldsdentists.com/join and sign up as a student member by April 1, 2021
**Complete the application form below

PLEASE NOTE: Only one Academy of LDS Dentists scholarship can be awarded to you during your time as a student.

SCHOLARSHIP APPLICATION PROCEDURE:
1. Fill out the application form below, review for accuracy, and click on "Submit".
2. Request a letter of recommendation from your current ecclesiastical leader or faculty adviser to be e-mailed to scholarships@academyofldsdentists.com. Make sure they know the deadline date of April 1, 2021.

APPLICATION DEADLINE:
Each of the above items for your application MUST be received no later than April 1, 2021. Membership in the Academy must also be completed by April 1, 2021. The Scholarship Review Committee will evaluate each application with careful and thoughtful contemplation. Recipients of scholarship awards will be notified by May 30, 2021.
Email address *
Untitled Title
CONTACT INFORMATION
Name (Last, First) *
Address #1 *
Address #2
Apt. or Ste Number
City *
State *
Zip Code *
E-mail Address *
Phone Number *
EDUCATION
Undergraduate Institution, Graduation Date, and Degree
Name of Hygiene School *
GPA/Class Standing *
Expected Graduation Date *
(from Hygiene School)
PERSONAL INFORMATION
If Married and Your Spouse Works, Please Provide Details *
(Type N/A if not applicable)
Age *
Marital Status *
Number of Children and Ages
(if applicable)
Service/Volunteer Experience *
(Since entering hygiene school)
PERSONAL COMMENTS
Personal Comments Section (200 word limit) *
(Please comment on your qualifications for this scholarship. Include any or all of the following: financial need; reasons you feel you are deserving of the scholarship; accomplishments at school; volunteer work in the Church or community; leadership opportunities, and other pertinent information.)
I have previously received a dental hygiene scholarship from the Academy of LDS Dentists *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy