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Glick Dental Scholarship Information 

In order to be considered for the The Glick Dental Associates scholarship award of $1,000.00 please provide the following information .


You may submit by e-mail to: or feel free to use the submission form at the bottom of the page under "message". Please don't forget your name and e-mail address.

  • Class Rank:

  • GPA:

  • List school organizations and activities in which you have participated and note offices which you have held:

  • What outside school activities do you participate in such as church youth group, scouts, volunteer work, etc. and note any office held:

  • List employment: (summer or other jobs that may bear on this application)

  • Where do you plan you continue your education after high school?

  • Have you been formally accepted at the institution listed above?

  • In what field or major do you plan to study after high school?

  • Please submit an original essay of no more than 3 or 4 paragraphs that outlines your thoughts as to why the reader should consider you for this scholarship.

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