APPLY HERE!

Make a Difference in Your Community.
You Could Win a $1,000 College Scholarship!

SCHOLARLY SMILES

Complete the form below to submit your application for the

Hess & VanLandschoot Orthodontics Scholarly Smiles College Scholarship.

First and Last Name

Phone Number

Email Address

High School

City of High School

Grade

College Planning to Attend

Please list a minimum of two references. Examples of acceptable references include the applicant's teacher, principal, counselor, coach or community organization leader. Include the references' name, relationship to the applicant, and phone number.

Paste your 300 word essay on the topic of how you plan to make a difference in your community.

*Scholarship application is open to graduating high school seniors in the Riverview, Lithia, Apollo Beach and Parrish areas. Application deadline is May 11, 2018.

APPLY HERE!

Make a Difference in Your Community.You Could Win a $1,000 College Scholarship!

SCHOLARLY SMILES

Make a Difference in Your Community.
You Could Win a $1,000 College Scholarship!