National Conference Scholarship Application

Deadline: April 30, 2023

The WAFP-Foundation is pleased to open applications for scholarships to attend National Conference to Wisconsin medical students interested in family medicine. The Foundation is offering a limited number of scholarships to students from each of Wisconsin's medical schools.

You must be a member of AAFP/WAFP to qualify for scholarships, so please make sure you are a member.

Reminder: In order to accept, you must attend the entire National Conference.
Name Name First Last
Checkboxes

Checkboxes I am a current WAFP member
AAFP ID
Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
I am currently a

I am currently a Student at a Wisconsin medical school
I am currently a

I am currently a M1 during the 2023-24 academic year M2 during the 2023-24 academic year M3 during the 2023-24 academic year M4 during the 2023-24 academic year
Medical School

Medical School MCW Central Wisconsin MCW Green Bay MCW Milwaukee UWSMPH
Have you previously attended the AAFP National Conference of Family Medicine Residents and Medical Students

Have you previously attended the AAFP National Conference of Family Medicine Residents and Medical Students Yes No
If yes, what year(s)
Have you previously received a scholarship from WAFP-Foundation to attend AAFP National Conference?

Have you previously received a scholarship from WAFP-Foundation to attend AAFP National Conference? Yes No
Will you be applying for or receiving other funding to attend the 2022 AAFP National Conference?

Will you be applying for or receiving other funding to attend the 2022 AAFP National Conference? Applying for other funding Receiving other funding Neither applying for nor receiving other funding
On a scale of 1-10, how likely are you to be able to attend National Conference without the support of this scholarship? 1=I would NOT be able to attend without it. 5=I would attend but it would strain my budget. 10=I would attend with or without it.
How are you deciding which specialty is right for you (i.e., faculty, mentor, role model, etc.)?
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
How did you become curious about family medicine and what do you hope to learn about the specialty by attending National Conference?
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
The thing you have found most surprising or inspiring about family medicine is...
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
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