Greater Fort Worth Dental Hygienists’ Association

Dear Dental Hygiene Students,
The Greater Fort Worth Dental Hygienists’ Association (GFWDHA) is accepting applications for the Martha E. Hencke Memorial Scholarship. In the past, this scholarship was offered only to second-year dental hygiene students at TCC Northeast Campus. However, we have recently opened the application to ALL students at TCC who are registered in the first or second year of dental hygiene studies. Furthermore, we are accepting applications from students enrolled in degree completion or advanced degree studies in dental hygiene or the sciences. This scholarship is offered to help meet the educational and licensure expenses of a student deserving of this additional financial support. We are pleased to award a $250 scholarship to a student who exemplifies both academic and leadership qualities.

Our Association has established a committee to review all applications. The scholarship will be awarded on the basis of financial need, verification of passing academic grade point average, and faculty evaluation and recommendation. All forms should be mailed to the address below no later than the December 1 deadline. The scholarship will be awarded at the SCADHA meeting in January or February. Also, please be aware that if the recipient of the award does not complete the program for any reason, the recipient will be expected to repay all monies received to the Greater Fort Worth Dental Hygienists’ Association.

If you would like to apply for this scholarship, please proceed carefully and thoughtfully through the following steps:
1. Fully complete the student portion of the application.
2. Attach a copy of your transcript and/or latest report card.
3. Write your name at the top of the “Faculty Evaluation Form”.
4. Give the Faculty Evaluation Form to three dental hygiene instructors (make 2 copies of the form) of your choice. One of these instructors must be a full-time dental hygiene program instructor. Request a time/date that you can pick up the completed evaluation forms from the dental hygiene faculty members. Each must be sealed in an envelope with the Faculty member’s signature across the seal.
5. Obtain two letters of recommendation. Each letter may be from a fellow SCADHA member, a non-hygiene faculty member, a clergy, friend, or family member. The letter should be brief – limited to one page – and should state why the person thinks you deserve the scholarship.
6. Secure all forms, including sealed faculty evaluation forms, in an envelope and mail no later than December 1.

Denise Frank
815 Yellow Tavern Ct
Grand Prairie, TX 7505
Greater Fort Worth Dental Hygienists’ Association
www.GFWDHS.org
All applications become the property of GFWDHA and will not be returned to the individual applicant.

MARTHA E. HENCKE SCHOLARSHIP
APPLICATION STUDENT BIOGRAPHICAL FORM

Please answer the questions below as completely as possible. Use the back of the paper or attach a separate page if necessary. Applications that are not complete or are received past the deadline will not be considered.

On a scale of 1-5, with 5 being the highest:

Clinical Appearance
Punctuality
Professionalism
Rapport with patients
Consideration of peers
Rapport with faculty
Problem solving abilities
General attitude

Please comment on the student's leadership qualifications, ability to achieve personal goals, and any additional qualities that you feel are relevant to this scholarship.