Community Scholarship Application 2026

By Lauren PeckaPublished On: January 5th, 2026Categories: Blog

Name *

First

Last

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

High School *

Please List Participation in Extracurricular or Community Activities: *

Planned College or University *

Intended Major of Study *

Single page essay describing why candidate should be awarded the scholarship *

Drag & Drop Files, Choose Files to Upload

2 Letters of Recommendation *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

For example a teacher, coach, mentor, manager. Please do not send letters of recommendation from family members.

Office Location *

Official High School Transcript

You MUST submit an official high school transcript in order to be considered.
You can upload your transcript here or you may email it to lpecka@progressivedentalny.com or mail to:

Progressive Dental
Attn: Lauren Pecka
1113 US RTE 11
Kirkwood, NY 13795

Upload Transcript

Drag & Drop Files, Choose Files to Upload

Emergency

General

Cosmetic

Innovative Dentistry

Community Scholarship Application 2026

Official High School Transcript

Find a Progressive Dental Office Near You

Binghamton

Endwell

Kirkwood

Montrose

Norwich

Emergency

General

Cosmetic

Innovative Dentistry

Community Scholarship Application 2026

Official High School Transcript

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Find a Progressive Dental Office Near You

Binghamton

Endwell

Kirkwood

Montrose

Norwich