North Georgia Dental Society Scholarship - Student National Dental Association

Thank you for your interest in the North Georgia Dental Society Scholarship.

Qualifications: To qualify all applicants must be:

An active member of SNDA
Have some affiliation with the State of Georgia

Application Instructions: Please submit the following to be considered for the North Georgia Dental Society Scholarship:

Completed application form submitted by April 30th, 2023 Deadline.
Official copy of your dental school transcript. Please have your transcript mailed directly from your Dental School to the address below; only official transcripts will be accepted.
- Mail to: Dr. Ronique Keane-Dawes
  North Georgia Dental Society
  1025 E West Connector Ste 360
  Austell, GA 30106

Please direct any questions to Dr. Ronique Keane-Dawes.

Personal Information

Name *

First

Last

Personal Email Address *

Cell Phone Number *

Name of Dental School *

Dental School Year *

Undergraduate Institution *

In which state is the High School you graduated from located? *

Campus/Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Permanent Address *

Address Line 1

Address Line 2

City

State

Zip Code

Academic Information

Current Overall GPA *

Dental Class Rank *

For example 1 of 250

Anticipated Graduation Date *

Activities and Interests

Briefly describe your dental school extracurricular activities: *

(Please include the organization name, position held, dates of involvement and a brief description of your responsibilities)

Briefly describe 2-3 volunteer activities, during the time you’ve been in dental school, in which you have impacted someone’s life: *

List honors, academic awards, research awards you have received during your time in dental school: *

Short Essays

(Maximum word count: 250 per question.)

How has organized Dentistry (ie SNDA, NDA, ASDA, ADA) impacted your dental school experience? *

What are your career plans/goals after completing dental school (residency, private practice, academics/research)? How/why did you come to this decision? *

C. What interests do you have outside of Dentistry to help you maintain a well-rounded/balanced life? *

D. Who had the biggest impact on your decision to pursue a career in Dentistry and why? *

Website

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