Annual Senior Scholarship Fund Application and Details | Apply Here! | The Dentist Off Main

Your name (high school senior applicant):*
Your email:*
Your phone:*
Please describe your work, community, sports, school, and any other extracurricular activities in which you participate:*
Please share your essay on “how the community has been integral part of your life and how you plan to stay involved through college and life”:*
Please share your career goals:*
Please share a hardship you have overcome in life:*
Reference #1: Name*
First Last
Reference #1: Phone*
Reference #1: Email*
Reference #2: Name*
First Last
Reference #2: Phone*
Reference #2: Email*
Reference #3: Name*
First Last
Reference #3: Phone*
Reference #3: Email*
Comments
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Program timeline -

Open applications: September/October to High School Senior patients only. If no patients apply, any Molalla or Colton high school senior students can apply beginning in November.
Close applications: March 1st
Scholarship will run: May through April
Awarded: April

A $1,000 scholarship will be given annually to a patient of record.
High school senior must apply.
If there are additional funds, we would go outside of our patient base to award another recipient.
The recipient(s) must exhibit community leadership and the “give back” spirit.
Dr. Salathe will take awardee and parents to dinner to present the award.
Awardee will be announced on social media and in our e-newsletter, and will be featured in a blog on our site.