Community

2nd Annual Education Essay Contest

First Name

Last Name

Phone

Please select the contest you are submitting you essay for:

4-Year University Contest (Current and incoming Freshman attending 4-Year Universary)

Dental Field Contest (Current and incoming students attending any program for Dentist, Dental Assistant, or Hyigenist)

Both (Only if the above two apply)

What University, Community College, or Program will/are you attending?

What year will you be entering this Fall of 2020?

Incoming Freshman

Sophomore

Junior

Senior+

If selected as a winner, I agree to have my name and likeness used to announce and promote this contest on all platforms of media including print, television, social media, and community events.

I pledge that the essay submitted was written by me. All the information provided in this submission form is correct. I am also a patient of record- I have been seen by one of our Dentist or hygienist.

Upload Essay

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Your Signature

Thanks for submitting!

Dr. Edward A. Wenda

&

Dr. Henry L. Vruwink

Community

2nd Annual Education Essay Contest