Apply for Braces - Jones Foundation

The Jones Foundation supports youth residing only in Coffey, Lyon and Osage counties in the state of Kansas. If you do not reside in these counties you may qualify for Smiles Change Lives, please visit www.smileschangelives.org/apply.         

The Walter S. and Evan C. Jones Foundation is now contracting with Smiles Change Lives (SCL) to administer their orthodontic program serving youth in Coffey, Lyon and Osage counties in Kansas. SCL will be responsible for running the day-to-day operations from responding to applicant inquiries to approving requests and coordinating case management throughout the entire orthodontic treatment process.

Smiles Change Lives and its orthodontic providers are dedicated to providing braces for youth from low-income families. We believe self-esteem and confidence are very important to the development of a child. SCL orthodontists provide quality treatment and healthy smiles to the most qualified and deserving kids.

     

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Following are guidelines for the Jones Foundation: 

• Applicants must be U.S. citizens who have resided in Coffey, Lyon or Osage counties in Kansas continuously for the past 12 months and you must continue living in one of these counties for the entire term of treatment

• Applicants can be up to (but not including) 19 years of age, must have good oral hygiene and must  have a moderate to severe need for orthodontic treatment. Our program covers orthodontics only. Any cleanings, fillings, extractions or surgical needs are the family’s financial responsibility.

• Applicants must be motivated and interested in obtaining braces and not already wearing braces.

• Submit a signed Dental Referral Form (page 7) from an appointment within the past 6 months.

• The family taxable income must be at or below 200% of the Federal Poverty Level, per the most  recent federal tax return (1040 form, not W-2). If you do not file taxes but receive SSI benefits, please submit a copy of your most recent awards letter. Please visit  www.smileschangelives.org/jfqualify for our income guidelines.

• The applicant and parent/guardian must agree to follow all program rules and guidelines, provided on page 5 of the application. If approved, the family agrees to pay $500 to participate in the program.

If you meet our requirements and want to apply, click on the "Application" button below. You will be taken directly to the application.

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To fill out the application:

1. Print the application.
2. Fill out completely and mail application* with the $25 nonrefundable application fee to:

Smiles Change Lives
Program Coordinator
2405 Grand, Suite 300
Kansas City, MO 64108

*Be sure to sign the completed application - electronic signatures cannot be accepted.

If you have any questions, please email us at jfapplicant@smileschangelives.org or call us toll-free at 888-900-3554.

If you do not live in Coffey, Lyon or Osage counties, please visit www.smileschangelives.org/apply.

Please keep a copy of your application, especially the 2-page program rules and guidelines form, for your records. You will need Adobe Reader to access the application form. Download Adobe Reader here.