New Chapter Application



Thank you for your interest in starting a Smile for a Lifetime Chapter. If you have a username and password please login as an "Existing User" below. If you do not have a current username and password, please enter a current email address and select "login".


*Note: If your application has been started and is incomplete use the same email address as before. The application will open to the place where you left off. 

NOTE: In the application, in regards to your "proposed" board members, the national board recommends a structure similar to the following: CPA, Banker, Attorney, School Administrator(s), Teachers, Social Workers, Community Advocates (Rotary Officers, Junior League, non-profit staff), Marketing Professional, Media Professional(s) (Print, radio, television), Dental Hygienist, Oral Surgeon or Dentist.

Remember that we only need a "suggested" board member list for your intial application, in other words these are people you would like to have on your board of directors but have not necessarily been invited , as of yet. You need NOT contact any proposed board member before filling out the application. We will help you with this once your chapter membership has been approved by the national board of directors. More questions? Email Michelle at [email protected]

Existing Users
If you have already created an account with us, you can sign in below.

Username:  Save Username
  Forgot your password? Forgot your username?

New Users
If you are a new user or you're not sure if you have used this site before, enter your email address below and click Login. By providing your email address, you agree to receive emails from Smile for a Lifetime Foundation.


powered by MemberClicks