---
title: Dental Hygiene Program Scholarship Application Form Template | Paperform
description: Professional scholarship application form for dental hygiene students. Collect patient care experience, preventive care philosophy, career goals, and RDH references in one streamlined form.
url: "https://paperform.co/templates/dental-hygiene-program-scholarship-application"
type: static
generatedAt: "2026-03-28T00:43:39.272Z"
---

[← Back to free form templates](/templates/)    ![Dental Hygiene Program Scholarship Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dental-hygiene-program-scholarship-application.png)
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### Dental Hygiene Program Scholarship Application Form Template

Are you pursuing a career in dental hygiene and looking for financial support to achieve your educational goals? This **dental hygiene program scholarship application form** is designed to help educational institutions, professional associations, and healthcare foundations identify passionate candidates who are committed to advancing oral health in their communities.

#### Why Use This Dental Hygiene Scholarship Application Template?

This comprehensive application form streamlines the scholarship selection process by collecting all essential information in one organized, professional format. Whether you're administering scholarships for aspiring dental hygienists or evaluating candidates based on clinical experience and preventive care philosophy, this template ensures you gather the right details to make informed decisions.

**Key benefits of this template:**

 - **Comprehensive applicant profiling** – Capture academic achievements, patient care experience, and career aspirations in private practice or public health settings
 - **Values-based assessment** – Understand each applicant's preventive care philosophy and commitment to periodontal health
 - **Professional references** – Collect registered dental hygienist references to validate clinical skills and professionalism
 - **Streamlined evaluation** – Organized sections make it easy to compare candidates and identify top talent
 - **Mobile-friendly design** – Applicants can complete forms on any device, increasing completion rates

#### Who Should Use This Form?

This dental hygiene scholarship application form is ideal for:

 - **Dental hygiene programs and schools** seeking to award merit-based or need-based scholarships
 - **Professional dental associations** supporting the next generation of oral health professionals
 - **Healthcare foundations** focused on improving access to preventive dental care
 - **Private dental practices** offering educational support to future team members
 - **Public health organizations** investing in community oral health initiatives

#### What Makes This Template Special?

Unlike generic scholarship applications, this template is specifically tailored for dental hygiene students and programs. It goes beyond basic demographics to explore:

 - **Clinical experience** – Previous patient care roles, volunteer work, and hands-on learning opportunities
 - **Preventive care philosophy** – Personal beliefs about disease prevention, patient education, and holistic oral health
 - **Periodontal health interest** – Specific focus on gum disease prevention, treatment, and patient outcomes
 - **Career path preferences** – Whether applicants plan to pursue private practice, public health, research, or education
 - **Professional endorsements** – Direct references from registered dental hygienists who can speak to clinical competence and character

#### Customize for Your Program's Values

With Paperform's intuitive doc-style editor, you can easily adapt this template to reflect your organization's specific priorities. Add questions about community service, modify scoring criteria, include program-specific requirements, or adjust the application timeline to match your scholarship cycle.

#### Automate Your Scholarship Workflow with Stepper

Once applications start rolling in, use **Stepper** (stepper.io) to automate your review process. Set up workflows to:

 - Automatically notify your selection committee when new applications arrive
 - Route applications to different reviewers based on career focus (private practice vs. public health)
 - Track application status and send automated updates to candidates
 - Create scoring spreadsheets that populate automatically from form submissions
 - Schedule interview invitations for shortlisted candidates

#### Built for Healthcare Education Professionals

This template incorporates best practices from dental hygiene education and professional development. It's designed by understanding the unique needs of oral health programs and the qualities that make successful dental hygienists—clinical excellence, patient-centered care, commitment to prevention, and professional integrity.

#### Secure, Compliant, and Professional

Paperform is **SOC 2 Type II compliant and GDPR-ready**, ensuring that sensitive applicant information—including academic records, financial need details, and personal references—is protected throughout the application process. With custom branding options, you can make this form look and feel like a natural extension of your institution's website.

#### Get Started in Minutes

Simply customize this template with your scholarship criteria, award amounts, and deadline information. The form works beautifully as an embedded element on your website or as a standalone application page. With conditional logic built in, you can create a tailored experience that shows relevant questions based on applicant responses.

Whether you're awarding one scholarship or managing an entire portfolio of educational grants, this dental hygiene program scholarship application template helps you identify deserving candidates who will advance the profession and improve oral health outcomes in communities nationwide.

Trusted by healthcare education institutions and professional organizations, Paperform makes it easy to create professional scholarship applications without coding. Start building better dental hygiene programs today.
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