Malchow Endowment Orthodontic Funding

Instructions for Completing Application for Malchow Endowment Orthodontic Funding

Include all of the following in your completed application packet. 

  • Completed Application including the requested essay submission. Download the application.
  • Proof of Family Income — Most recent IRS 1040, or proof of filing exclusion
  • Current Photos of applicant including
    • Favorite photo that does not need to be returned
    • Current close-up photo of applicant’s full smile
  • Letter of Recommendation from the Applicants Family or Pediatric Dentist attesting to the applicant’s orthodontic need
  • Dental Record of last 3 year’s dental check-up/cleaning history
  • All materials should be sealed in a large manila envelope and mailed, or dropped off at:

The Dental Clinic
740 E. Tenth Avenue
Bowling Green, KY 42101

Our application committee is comprised of 6 individuals representing the Med Center Health Foundation Administration, The Malchow Endowment Program, Med Center Health Dental Clinic, Med Center Health Foundation Board of Directors, Med Center Health Free Clinic Board of Directors, and Western Kentucky University’s Dept of Dental Hygiene.  This Selection Committee is scheduled to review applications on a quarterly basis.

Jan 1-March 30Reviewed for considerationApr   Committee Meeting
April 1-June 30Reviewed for considerationJuly   Committee Meeting
July 1-Sept 30Reviewed for considerationOct   Committee Meeting
Oct 1-Dec 31Reviewed for considerationJan    Committee Meeting

Once an application is placed into the review cycle for the next committee meeting, it will remain in the applicant pool for a total of 1 year if not chosen for funding during the current selection term.  All applicants will receive an outcomes letter during the initial quarter of consideration as to the outcome of their application.  Applications are not chosen based on order of receipt.  Applicants will be considered on a combined scoring from each committee member based on severity of need, financial impact, past oral health history and recommendations of the applicant’s dentist or referral source.  The decisions of the committee will be final and no appeals will be considered.