The Mary J. Hauk, DDS, MPH Memorial Scholarship for Dental Residents
APPLICATION DEADLINE - OCTOBER 2, 2017

The Mary J. Hauk, DDS, MPH Memorial Scholarship for Dental Residents is designed to help student professionals attend the Annual Meeting of the American Cleft Palate-Craniofacial Association (ACPA). The Hauk Scholarship provides basic meeting registration, a one-year student membership in ACPA, and a $500 stipend to offset Annual Meeting travel expenses (http://meeting.acpa-cpf.org/).

All application materials must be submitted by October 2, 2017, including the form below, curriculum vitae, and letter of endorsement. Supplementary material may be emailed to peggy.smith@acpa-cpf.org, faxed to 919-933-9604, or mailed to 1504 E. Franklin St. Suite 102, Chapel Hill, NC 27514.

**Please Note** Partial information entered into this online form cannot be saved for later completion. If preferred, take your time to draft responses in a separate Word document and then copy them into this form.

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