Auburn Dental Assisting Program

Scholarship Application

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

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

Birthday

Month

Day

Year

Email

Phone

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 are in the dental field, in what ways do you see yourself giving back to the community?

Upload one reference letter from a school teacher here.

Registration Information