Mars Wrigley Foundation Chicago Dental Society Grant Form
This document outlines the application process for the Mars Wrigley Foundation and Chicago Dental Society Healthier Smiles Grant Program. It provides eligible dentists and dental students with the necessary details to apply for funding geared towards improving oral health in underserved communities. Applicants will find essential information on eligibility, funding, and program requirements.
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How do I fill this out?
To fill out this application form, carefully read each section and gather the required information. Ensure all necessary attachments are included before submission. Follow the provided guidelines for a smooth application process.
How to fill out the Mars Wrigley Foundation Chicago Dental Society Grant Form?
1
Confirm your eligibility and gather required documents.
2
Fill out all sections of the application form accurately.
3
Prepare your Program Summary according to the guidelines.
4
Attach any necessary documentation, such as academic records.
5
Submit your application by the deadline via email and mail.
Who needs the Mars Wrigley Foundation Chicago Dental Society Grant Form?
1
CDS member dentists seeking funding for community health programs.
2
Second- and third-year dental students wanting to participate in community health initiatives.
3
Organizations looking for partnerships to enhance oral health services.
4
Community health fairs needing support from volunteer dental professionals.
5
Residents of underserved communities requiring improved access to dental care.
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What are the instructions for submitting this form?
To submit the application form, complete all required sections and ensure you have the necessary attachments, such as your Program Summary and academic records. Email one PDF version of your completed application to kweber@cdsfound.org before the deadline of April 5, 2024, by 5:00 PM Central. Additionally, mail a paper copy of your application, postmarked by the deadline, to the Chicago Dental Society Foundation at 401 N. Michigan Ave., Suite 200, Chicago, IL 60611.
What are the important dates for this form in 2024 and 2025?
The important dates for this form include the application deadline on April 5, 2024, and the requirement to complete funded projects by September 1, 2024.
What is the purpose of this form?
The purpose of this form is to facilitate the application process for the Healthier Smiles Grant Program. This initiative aims to empower local communities by funding dental programs that increase oral health literacy and enhance access to care. By targeting underserved populations, the program strives to improve overall community health and well-being.
Tell me about this form and its components and fields line-by-line.
- 1. Principal Applicant: Full name of the principal applicant for the grant.
- 2. CDS Member Number: Unique identifier for verifying CDS membership.
- 3. Co-Applicants: Names of any additional applicants collaborating on the project.
- 4. Address: Mailing address for correspondence related to the application.
- 5. Email Address: Contact email for the principal applicant.
- 6. Phone Number: Contact number for any inquiries related to the application.
- 7. Practice Name: Name of the dental practice associated with the applicant.
- 8. Degrees Earned: Educational qualifications of the principal applicant.
- 9. University and Graduation Year: Educational institution and anticipated graduation year for students.
- 10. Program Title: Title of the community service program proposed.
- 11. Program Summary: Comprehensive outline of the program's objectives and target audience.
- 12. Budget: Itemized budget detailing funding allocation.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to receive grant funding. Incomplete or inaccurate applications can lead to disqualification from the grant process. Timely submission is crucial to ensure participation and project funding.
- Missed Funding Opportunities: Missing the deadline can result in lost funding for important community dental programs.
- Incomplete Applications: Submitting an incomplete application may lead to rejection and prevent future consideration.
- Delayed Project Start: Failure to submit may postpone necessary oral health services in underserved communities.
How do I know when to use this form?
- 1. Health Programs: When establishing health initiatives focused on improving dental care access.
- 2. Community Service Grants: For applying for funding to support community health fairs or similar events.
- 3. Educational Outreach: When seeking support for programs that educate the public on oral health.
Frequently Asked Questions
Who is eligible to apply for the Healthier Smiles Grant?
Eligible applicants include Chicago Dental Society member dentists and dental students currently in their second or third year.
What is the application deadline?
The application deadline is April 5, 2024, by 5:00 PM Central Time.
How do I submit my application?
You can submit your application by emailing a PDF file to kweber@cdsfound.org and mailing a paper copy to the Chicago Dental Society Foundation.
What is included in the Program Summary?
The Program Summary should outline the target audience, proposed activities, oral health education components, and evaluation methods.
What is the maximum funding amount available?
Grants are limited to a maximum of $5,000 per project.
Can I submit my application as a team?
Yes, applications can be submitted by a dentist on behalf of a cross-functional team.
What is the total amount of funding available through this program?
The program provides Community Service Grants totaling more than $45,000.
Are there specific criteria for evaluation?
Applications are evaluated based on significance, outcome measures, and feasibility.
How can I track changes made to the PDF?
PrintFriendly allows you to check the edits made in real-time before finalizing your document.
Is there support available for completing this application?
Resources and guidelines can be found on the Chicago Dental Society Foundation website.
