Department of Family Medicine Additonal Application

This application is for SMPH MD Students who are interested in Family Medicine and would like to apply for the Awards that are selected by the Department of Family Medicine.

Please complete the following application to apply for the following scholarships that will be presented at the upcoming Spring McGovern-Tracy dinner:

  • Brillman Leadership and Advocacy Award*
  • Brillman Scholars Award
  • Joyce F. Jeardeau Family Medicine Memorial Scholarship
  • Korbitz Endowed Scholarship Award in Family Medicine
  • WAFP Founders Award

Each application requires a personal statement, your curriculum vitae (CV), and at least one letter of support.

*The Brillman Leadership and Advocacy Scholarship requires three letters of support:

  • Peer letter
  • DFMCH physician letter
  • Mentor letter

Winners to be determined by the DFMCH Scholarship Selection Committee. You may learn more about the scholarships here.

If you have questions about the scholarships, please contact Curtis Vineyard at curtis.vineyard@fammed.wisc.edu. If you encounter issues with WiSH please contact StudentServices@med.wisc.edu and put “WiSH” in the subject of the email.

Award
Varies
Deadline
01/04/2027
Supplemental Questions
  1. Personal Statement
  2. Attach a copy of your CV.
  3. Check this box if you applying for the Brillman Leadership and Advocacy Scholarship.
  4. Please describe your leadership invovlement in family medicine.
  5. Letter of Support - Peer Letter
  6. Letter of Support - DFMCH Physician Letter
  7. Letter of Support - Mentor Letter
  8. Show 2 more