Thanks to R.K. Tongue Co., Inc & Professional Protector Plan® for Dentists, the MSDA Foundation is able to present a  $10,000 scholarship to a UMSOD student who demonstrates a promising career in organized dentistry and charitable giving! 

Our 2018 recipients, Megan Tigani and Miah Ramsey, with Dr. Chris Liang,

Dr. Diane Romaine, and Mr. Eric Biagioli

This is the scholarship submission page. Download the application form using the link below, and upload once completed in a single PDF document. Ensure the sequence of the pages mirrors the sequence in the original application form. Click here to view the scholarship guidelines

Step 1: Download Application Form and Complete Application

Step 2: Upload Complete Application as a single PDF. 

Submit the entire application using this form. 

First Name

Last Name

E-mail

Experiencing problems? Email your application to