Student Spouse Scholorship - Electronic Form
Applicant Information
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Instructions
VIEW GUIDELINES (Pdf file): Click here to see the Full Guidelines/Instructions in a PDF file
  • The AADA Conference 2017 Student Spouse Scholarship Program is generously sponsored by ADA Members Insurance Plans underwritten by Great-West Financial. This scholarship is available to Student Spouse Members of AADA.

  • The scholarship includes complimentary registration and non-transferable tickets to required session and activities, and reimburses recipients for travel and hotel expenses up to $700. Recipients are required to attend all official conference activities and to submit a conference report. Scholarships will be awarded to applicants based on information provided on the application. Please review the Student Spouse Scholarship Guidelines for details.

  • Scholarship applications must be completed by March 1, 2017
Personal Statement / Alliance Activity
Please include in the box below:
  • (1). Personal statement. Please tell us: Why you want to attend this conference? How you hope to benefit from attending and how your attendance will support the Alliance? Why you feel you should be selected? Please include any factors you consider relevant to the Committee’s decision; i.e., you are a new board, council or committee member or have committed to serving on a board, council or committee at the local, state, and/or national level during the next year; you have been responsible for a retention and/or recruitment program; you have managed or participated in a dental health education project; or you are a Member-At-Large (a member without a constituent or component) who has not had an opportunity to serve in any board position, but have or plan to actively participate in the areas of legislative advocacy or dental health education, etc.

  • (2). A summary of your Alliance volunteer experience at the local, state, and/or national level, including positions you have held.

  • (3). List any financial assistance you may receive from your local or state alliance.
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