Smile for a Lifetime Foundation is a non-profit, charitable organization that provides quality orthodontic treatment for youth who may not have the opportunity to achieve a beautiful, straight smile without financial assistance. It has chapters throughout the country. The newly-established South Jersey chapter – based in Marlton NJ – services Burlington and Camden counties.

We will begin accepting applications on January 15th, 2017. A minimum of two applicants will be selected to begin treatment in 2017.

Orthodontic services will be provided by Dr. Monisha Iyer, Dr. Ross Segal, and the clinical staff at Segal and Iyer Orthodontics.


How To Apply

Step 1 – Review the eligibility criteria and application requirements listed below.

Step 2 – Print and complete the application, or email us to request a printed version.

Step 3 – Submit your completed application package (recommendation letters, photo, and transcripts) to the address at the bottom of the application form.

Eligibility Criteria

Only applicants meeting all of the following conditions are eligible for the program:

  • Applicant must be a resident of Burlington or Camden counties in New Jersey.
  • Applicant must be at least 11 years old, and no more than 17 years old, at the time of application.
  • Applicant must be a currently enrolled student, with a GPA of at least 2.0 (a “C” average) over the past 12 months.
  • Applicant must have a significant aesthetic need for braces.
  • Applicant’s household income must fall below the federal poverty guideline, or applicant must be able to demonstrate extraordinary financial hardship.


Application Requirements

Applicants must submit all of the following:

  • A completed application.
  • A completed applicant questionnaire. Be sure to answer all four questions. Responses must be legible, and the answers written only by the applicant.
  • Two Letters of Recommendation. Please do not submit more than two letters, and limit each reference letter to one page each. Please type or print clearly with black ink (no pencil). Letters of Recommendation may be written by friends, teachers, coaches, counselors, employers, dentists, etc. Recommendation letters should not be from family members.
  • A clear 5×7 head shot with full smile & teeth showing. This picture will not be returned and will become property of Smile for a Lifetime Foundation.

Applicants under final consideration will be expected to meet with S4L – South Jersey representatives at our office – and to provide proof of income – before a final decision is made.


If accepted into the program, participants will be expected to:

  • demonstrate a positive attitude
  • follow the treatment plan and demonstrate the ability and commitment to make all appointments on time
  • display involvement and leadership in extracurricular activities
  • “pay it forward” by completing one hour of community service for a qualified organization.

Click here for a printable copy of the eligibility guidelines.

Click here to access a printable application.


Lorraine Jarney – President
Emma Stith – Vice President
Trish Lukas – Treasurer
Kent Warder – Communications Director