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Dental Education


 
 


National Dental Association Foundation, Inc.
Colgate-Palmolive Scholarship Program

Dental Hygiene and Dental Assistant Students Only

*This scholarship program is intended for under-represented minority students. 

Scholarship Program Application Guidelines

Dental Hygiene - $500.00 and Dental Assistant - $250.00

A.     Merit: This is based on academic performance in undergraduate school and service to your community and/or country. 

B.     Process:

  1. Letter from applicant stating why you should be considered
  2. 2. Letters of recommendation (2)
    a One letter must be from Program Director (nomination letter)
  3. Hygiene: first and/or second year students 
  4. Include any/and all pertinent information related to merit. 
  5. Membership of NDHA or NDAA - verification can be a copy of card, letters from the NDHA or NDAA, copies of canceled checks, or receipts from the local chapters.

C. Requirements:

  1. United States citizenship or permanent resident status 

IMPORTANT

Do not mail any items stapled together. If a document has writing on both sides of the page, please send us a duplicate copy so that writing will be on only one side of each page.  

***Annual Deadline is May 15th***

NATIONAL DENTAL ASSOCIATION FOUNDATION
SCHOLARSHIP POLICIES AND GUIDELINES  

  1. National Dental Association Foundation Staff and their immediate family are not eligible to receive a scholarship from the NDAF Colgate Palmolive Scholarship Program.  

        ("Immediate Family is defined as staff member's spouses, children and grandchildren.")  

  1. Members of the Board of Directors of NDAF and Scholarship Committee of NDAF are not allowed to participate in the discussions of awards when a family member is the candidate for scholarship or the family member has put his or her application in for consideration.

INSTRUCTIONS

  1. Print out print friendly version. 

  2. Fill out printed application.

  3. Mail the form to the NDAF: 3517 16th Street, NW, Washington, DC 20010. Send in a complete application to include: Letter of Recommendation, Pictures, References etc. along with this application.

Applicant's Name:  Last First Middle 

Social Security #: Date of Birth:


Current Address: 
Street City State 
Zip Code 


Permanent Address: (Where you lived before coming to dental school)
Street City State 
Zip Code 

Current Phone: Permanent Phone:


Place of Birth: City State Zip Code  Citizenship Status:


Parents Address:
Street City State  
Zip Code 


Income from previous year:

Projected income for coming year:

Marital Status: Married Single

Spouse's income from previous year:

Spouse's projected income for coming year:

Cost of Tuition & Fees: 

Number of Dependents:  

Total assets and liabilities:

 

 

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