American Dental Association Scholarship?
Deadline October 30, 2019
(Deadline may be extended by the CVCC Dental Program Director)
Complete the following if you want to apply for the American Dental Association Scholarship through
the CVCC Foundation Scholarship
Applicant Name and Address _________________________________________________________________
Phone Number ________________________________________
CVCC ID or last 4-digits of SSN__________________________ Date________________________________
Write an essay of 400 to 500 words about your career and/or educational goals and include how the Clinical
Dental Health Coordinator Continuing Education Class will enhance you professionally. In addition, please
include educational honors and community service in your essay.
Please submit this application to the following:
Attention: CVCC Dental Program Director Crystal Adams
CVCC Dental Hygiene Program
2550 Highway 70 S. E.
Hickory, NC 28602,
or email to cadams@cvcc.edu
Questions may be directed to Crystal Adams at (828) 327-7000, extension 4158.
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(You may continue your essay on a separate page.)