Auburn Dental Assisting Program Scholarship Application-ADAP

Auburn Dental Assisting Program Scholarship Application

Tell us more about you so that we can consider you for the scholarship.

NOTE: You must complete the registration form - and - pay the $50 non-refundable deposit before you can apply for the scholarship.

CLICK HERE to complete the registration form if you have not already done so.

First name

Last name

Birth Date

Phone Number

Which session are you applying for?

Spring

Summer

Fall

Winter

Why do you want to be in the program?

What are your career goals?

Why should you be considered for this scholarship?

Once you're in the dental field, in what ways to you see yourself giving back to the community at large?

Upload one reference letter from a school teacher

Have you completed the registration form and paid your $50 deposit?