DTA Foundation Dental Student Scholarship Application

DTA Foundation Dental Student Scholarship Application

Application Deadline - February 13, 2025
Thanks to the very generous scholarship donations from the DTA Foundation donors and Dental Trade Alliance company members, the DTA Foundation is able to once again provide the following scholarships to dental students halfway through their dental education who demonstrate a commitment to community service.
- 1 $25,000 top scholarship
- Multiple $10,000 scholarships
- up to 10 $5,000 scholarships
This scholarship is for those halfway through their dental education. Will you be entering your 3rd or 4th year of dental school this Fall?*

YesNo

This scholarship is also meant for those who have financial need. Do you qualify for financial aid through programs such as FAFSA?*

YesNo

Do you plan to continue serving your community after dental school?*

YesNo

Thank you for your interest in this scholarship. Unfortunately, you are not eligible at this time. However, there are other scholarships and resources out there for dental students and we highly encourage you to take advantage of those!

See below for a very small list of them.
- The We Believe Scholarship Program and ADEA offer testing, application, and admission cost assistance.
- This Website lists a whole range of public and private scholarship opportunities.

I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Phone Number :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Your Student ID:*
II. Tell Us More About You
Please answer one of the following writing prompts in 750 words or less, using the space provided below.
1. Tell us about your unique background and how it led you to pursuing a career in dentistry.
2. Tell us more about how you define leadership and which past leaders have inspired you.
3. Tell us how your personal experiences encouraged your path to community service.
Which Prompt are you answering?
1.) Tell us about your unique background and how it led you to pursuing a career in dentistry. (max of 750 words)

0/750
2.) Tell us more about how you define leadership and which past leaders have inspired you. (max of 750 words)

0/750
3.) Tell us how your personal experiences encouraged your path to community service. (max of 750 words)

0/750
III. Your Commitment to Community Service
Please describe (in 250 words or less) your top 3 oral health community service roles or projects that you feel truly exemplifies your commitment and leadership to community service.
Community Project or Role #1 (max of 250 words)*

0/250
Community Project or Role #2 (max of 250 words)*

0/250
Community Project or Role #3 (max of 250 words)*

0/250
How do you plan to make a difference in the lives of others by incorporating community service into your full-time dental career? (max of 500 words or less).*

0/500
IV. Dental School Information
For this scholarship, each school may nominate one student so that as many dental schools as possible are represented in the applicant pool.

We will be sending a nomination form to each school for them to select their nominee from.
Which Dental School are you attending? *
Who is the best contact person to reach out to? *
What is their email? *
example@example.com
VIII. Submitting!
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

For students chosen as finalists, we will send a request directly for a short (maximum time of 2 minutes) selfie video. This short, unprofessional video is a great chance for you to give us a better picture of who you are and your unique background. The request will come with a link to a platform where you can directly record and upload through the link, or upload from a separate video system if you have one you prefer. This video request will be sent to students chosen as their school's nominees in March, with a deadline to turn the video in by April 22nd.

We hope that our all-volunteer review committee from all over the US will have their decisions to us by early June so we can notify everyone by end of July.
E-Signature:*
Should be Empty:

DTA Foundation Dental Student Scholarship Application

I. Personal Data:

II. Tell Us More About You

III. Your Commitment to Community Service

IV. Dental School Information

VIII. Submitting!