Maine Dental Association Charitable Foundation
Maine Dental Association Charitable Foundation
PO Box 215 29 Association Drive Manchester, ME 04351
Phone: 207-622-7900 Fax: 207-622-6210 E-mail: [email protected]
The Alva S. Appleby Scholarship Fund Administered by the Maine Dental Association History of the Scholarship In July, 2995, the Maine Dental Association received a sum of money from the estate of the MDA Past President Alva S. Appleby, “in trust,...for the purpose of establishing a scholarship or scholarships for students from the State of Maine to attend dental school.” Since 1995, MDA members have made additional voluntary contributions to the fund. The MDA awarded the first annual scholarship(s) during the 1997-98 academic years. Since only the interest will be used to provide the scholarships, the amount of the awards may vary, but will be at least $500.00. Criteria for Applications The Maine Dental Association Charitable Foundation will review the applications and choose the scholarship recipient(s) based upon the following criteria: Be from the State of Maine Be enrolled in a dental school accredited by the American Dental Association and having completed the first year. Procedure for Applications Interested parties should request an application form from the Maine Dental Association, PO Box 215, Manchester, ME 04351. The application should be completed and returned by October 23, 2015 accompanied by: One personal reference Two dental school instructor references An undergraduate college transcript A current dental school transcript A personal statement explaining your choice of dentistry as a career and your future goals Criteria for Selection The Maine Dental Association’s Foundation Council Student Grant sub-committee will review the applications and choose the scholarship recipient(s) based upon: Academic performance Essay/personal statement The recipients(s) will be notified by the Maine Dental Association when the grants have been awarded. For more information call or email Cindy Sullivan at the MDA office. 207-622-7900 or [email protected].
Maine Dental Association Charitable Foundation
PO Box 215 29 Association Drive Manchester, ME 04351
Phone: 207-622-7900 Fax: 207-622-6210 E-mail: [email protected]
Dear Maine Dental Student, The Maine Dental Association is now accepting applications for the 2015 Alva S. Appleby Scholarship. I have enclosed information on the history of the scholarship and the criteria and procedure for application. If you would like to be considered for this scholarship, please complete and return the paperwork, including all supporting documents, to the Maine Dental Association by October 23, 2015. The applications will be reviewed by the Trustees of the MDA Charitable Foundation, the overseers of the Appleby Fund, and the scholarship recipients will be notified by the Maine Dental Association when the grants have been awarded. Please feel free to contact me if you have any questions. Sincerely,
Cindy Sullivan Executive Director
The Alva S. Appleby Scholarship Administered by the Maine Dental Association Charitable Foundation
Alva S. Appleby Scholarship Fund Application NAME:_________________________________________Married_______ Single_______ # of Dependents:____________ ADDRESS(Home):______________________________________________________________ ADDRESS (School):____________________________________________________________ Home Phone:______________________________ School Phone_________________________ Date of birth:________________ S.S. #____________________ Driver’s Lic. #_____________ How many years have you been a Maine resident?______________________ High School:____________________________________________ Class:____________ Undergraduate College:____________________________ Class:________ Degree:__________ Dental School:___________________________________________ Class:____________ Name of father and mother or legal guardian:________________________________________ Parents’ address:_______________________________________________________________ Recent employment history:______________________________________________________ Extra-curricular activities:________________________________________________________ Honors/awards:_________________________________________________________________
Personal statement explaining your choice of dentistry as a career and your future goals: (Please attach additional pages, if necessary.)
Return application with supporting documents to: Maine Dental Association, PO Box 215, Manchester, ME 04351 by October 23, 2015. Scholarship recipients will be notified by the Maine Dental Association when the grants have been awarded.
PO Box 215 29 Association Drive Manchester, ME 04351
Phone: 207-622-7900 Fax: 207-622-6210 E-mail: [email protected]
The Alva S. Appleby Scholarship Fund Administered by the Maine Dental Association History of the Scholarship In July, 2995, the Maine Dental Association received a sum of money from the estate of the MDA Past President Alva S. Appleby, “in trust,...for the purpose of establishing a scholarship or scholarships for students from the State of Maine to attend dental school.” Since 1995, MDA members have made additional voluntary contributions to the fund. The MDA awarded the first annual scholarship(s) during the 1997-98 academic years. Since only the interest will be used to provide the scholarships, the amount of the awards may vary, but will be at least $500.00. Criteria for Applications The Maine Dental Association Charitable Foundation will review the applications and choose the scholarship recipient(s) based upon the following criteria: Be from the State of Maine Be enrolled in a dental school accredited by the American Dental Association and having completed the first year. Procedure for Applications Interested parties should request an application form from the Maine Dental Association, PO Box 215, Manchester, ME 04351. The application should be completed and returned by October 23, 2015 accompanied by: One personal reference Two dental school instructor references An undergraduate college transcript A current dental school transcript A personal statement explaining your choice of dentistry as a career and your future goals Criteria for Selection The Maine Dental Association’s Foundation Council Student Grant sub-committee will review the applications and choose the scholarship recipient(s) based upon: Academic performance Essay/personal statement The recipients(s) will be notified by the Maine Dental Association when the grants have been awarded. For more information call or email Cindy Sullivan at the MDA office. 207-622-7900 or [email protected].
Maine Dental Association Charitable Foundation
PO Box 215 29 Association Drive Manchester, ME 04351
Phone: 207-622-7900 Fax: 207-622-6210 E-mail: [email protected]
Dear Maine Dental Student, The Maine Dental Association is now accepting applications for the 2015 Alva S. Appleby Scholarship. I have enclosed information on the history of the scholarship and the criteria and procedure for application. If you would like to be considered for this scholarship, please complete and return the paperwork, including all supporting documents, to the Maine Dental Association by October 23, 2015. The applications will be reviewed by the Trustees of the MDA Charitable Foundation, the overseers of the Appleby Fund, and the scholarship recipients will be notified by the Maine Dental Association when the grants have been awarded. Please feel free to contact me if you have any questions. Sincerely,
Cindy Sullivan Executive Director
The Alva S. Appleby Scholarship Administered by the Maine Dental Association Charitable Foundation
Alva S. Appleby Scholarship Fund Application NAME:_________________________________________Married_______ Single_______ # of Dependents:____________ ADDRESS(Home):______________________________________________________________ ADDRESS (School):____________________________________________________________ Home Phone:______________________________ School Phone_________________________ Date of birth:________________ S.S. #____________________ Driver’s Lic. #_____________ How many years have you been a Maine resident?______________________ High School:____________________________________________ Class:____________ Undergraduate College:____________________________ Class:________ Degree:__________ Dental School:___________________________________________ Class:____________ Name of father and mother or legal guardian:________________________________________ Parents’ address:_______________________________________________________________ Recent employment history:______________________________________________________ Extra-curricular activities:________________________________________________________ Honors/awards:_________________________________________________________________
Personal statement explaining your choice of dentistry as a career and your future goals: (Please attach additional pages, if necessary.)
Return application with supporting documents to: Maine Dental Association, PO Box 215, Manchester, ME 04351 by October 23, 2015. Scholarship recipients will be notified by the Maine Dental Association when the grants have been awarded.
