Dr. Arthur A. Dugoni Faculty Endowment Fund Application

Teaching is a noble profession that bridges the past and prepares the future. The mission of the Dugoni Faculty Award is to support faculty members who teach in dental programs affiliated with California’s dental schools.

Thank you for expressing interest in the CDA Foundation and its scholarship program. We appreciate you applying for our services which are available to benefit people who want to improve the oral health of all Californians.

Prior to beginning the online application process, please scan the following supporting documents and have them ready to upload as attachments (Word, Excel, PDF, etc.) to this application when prompted to do so later:

  • Letter(s) of recommendation;
  • Proof of employment – pay stub, letter from supervisor, etc.; and
  • Curriculum Vitae or professional summary (3 pages maximum).

During this application process, you will need to answer the questions by typing text, checking boxes/buttons, and where prompted, upload/download documents as attachments to this online application. All requested file uploads and downloads are required to complete your application. Once we have received your application, an automated receipt confirmation will be sent to you at the e-mail address provided below. Good luck!

Submission Criteria

  • Complete online application, attaching all supporting documents, and submit online.
  • Approval from CDA Foundation staff is required prior to accepting e-mailed applications. If you are experiencing difficulties submitting the online application, please contact the CDA Foundation staff via e-mail at jolene.murray@cda.org to request an alternative submission method and a Word document of the grant application will be sent to you for completion.

Incomplete applications are ineligible to receive an award.

Light Purple Shaded Areas are Required Fields

I. General Information

Applicant's Name
Home Address
Are You a U.S. Citizen

Documentation/proof of U.S. citizenship

If no, click here to upload documentation of your naturalization or other proof of U.S. citizenship.

Please keep individual attachments under 300k. Please click here for scanning tips.

II. Educational Information

III. Employment

Please complete the below information for your current or anticipated employment with a dental program affiliated with a California Dental School.

Area of discipline?
Full Time Faculty?

Proof of Employment

Click here to upload your proof of employment.

Please keep individual attachments under 300k. Please click here for scanning tips.

IV. Personal Statement

Upload Letters of Recommendation

Each applicant must attach two letters of personal recommendation/reference from individuals who can speak to the applicant’s teaching ability or commitment to teaching.

Upload letter of recommendation #1

Please keep individual attachments under 300k. Please click here for scanning tips.

Upload letter of recommendation #2


Please keep individual attachments under 300k. Please click here for scanning tips.

Upload Curriculum Vitae or CV Summary

Each applicant must attach their Curriculum Vitae or CV Summary.

Upload Curriculum Vitae or professional summary (3 pages maximum)

Please keep individual attachments under 300k. Please click here for scanning tips.

V. Certification

I acknowledge that the decisions of the Scholarship Committee and the CDA Foundation are final and that this is a competitive selection process. I certify that the information provided is complete and accurate to the best of my knowledge. I understand that this application may be denied or withdrawn if it is incomplete and/or if any information reported is found to be intentionally misleading, inaccurate or fraudulent.

I authorize the CDA Foundation to use my name and/or photo for the purpose of community and public relations.

Electronic Signature (Required)

Please check the electronic signature button, type in your first and last name in the space provided, and click the button on this page labeled "Submit" to certify that all statements made in this application and its attachments are complete and accurate to the best of your knowledge, and to authorize the CDA Foundation to verify the information provided in this application.

By submitting your application, you certify that all statements made in this application and its attachments are complete and accurate, and you understand that falsification will disqualify your application.

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