American Medical Women’s Association

American Women’s Hospitals Service

12100 Sunset Hills Rd, Ste 130

Reston, VA 20190

Phone: 703-234-4069 Fax: 703-435-4390

Email:

American Women’s Hospitals Service OVERSEAS GRANT APPLICATION

The AWHS Overseas Assistance Grant provides assistance with transportation costs up to $1,000 connected with pursuing medical studies in an off-campus setting where the medically neglected will benefit. The Grants are awarded to national AMWA members completing their second, third or fourth year of an accredited U.S. medical or osteopathic medical school or a resident who will be spending a minimum of four weeks and no longer than one year in a sponsored program which will serve the needs of the medically underserved.

The completed application and supporting documentation must be forwarded to AWHS each quarter by January 5th, April 5th, July 5th, and October 5th. A decision will be made within 4 weeks of receipt. Subsequent applications will be accepted if funds are still available. The following items must be submitted electronically to in one e-mail before an application will be considered:

1.  Completed Overseas Assistance Grant Application

2.  Letter from the Dean’s Office confirming your good standing (not applicable if you are a Resident)

3.  Letter of Recommendation from a faculty member

4.  Evidence of school approval for academic credit and acceptance of responsibility

5.  Description of the program prepared by its sponsor or, if no sponsor, by your school or another school accepting responsibility

6.  Your 800-1000 word statement

7.  Travel Budget

At the conclusion of the study, the Overseas Assistance Grant recipient must submit:

1.  A 2500 word focused educational piece to be used for newsletter submission.

2.  A final expense report with receipts for travel expenses over $25.00 incurred travelling to and from the site.

Grant awardees will be encouraged to participate in the AWHS committee for the remainder of the year.

Name: ______Social Security #: ______

Permanent Address: ______

City: ______State: ______Zip: ______Phone: ______

Current Mailing Address: ______

City: ______State: ______Zip: ______Phone: ______

Email Address: ______

Destination: ______

Departure Date: ______Length of Stay: ______

Are you an AMWA member? ______How many years? ______

Please explain your level of involvement with AMWA.

Have you been active with other Women’s Health Organizations?

Are you applying for any additional sources of funding? If so, which ones? ______

How might you be able to use this experience to educate future students who plan to travel abroad and work in a medically underserved area? ______

ACADEMIC AND PROFESSIONAL HISTORY

Name Matriculation Graduation Degree

Month/year month/year

Undergraduate College: ______

Medical School: ______

Other Schools: ______

Planned Specialty: ______

Do you have any disabilities or chronic illnesses that might affect your ability to complete this project? ______

PERSONAL REFERENCE

Please provide the name of a personal reference and include a letter of recommendation from that individual with your application.

Name: ______

Address: ______

Telephone: ______

Email: ______

TRAVEL BUDGET (airfare costs and any anticipated other income for this trip)


Please submit an 800-1,000 word statement on why you want to travel to this particular program, why it is more valuable for you than staying on campus, what you particularly plan to accomplish during your stay, and how you hope the experience will benefit both yourself professionally and the community in which you will work

______

American Women’s Hospitals Service

GUIDELINES

APPLICATION REQUIREMENTS – (Submit electronically in ONE e-mail)

●  Completed Overseas Assistance Grant Application

●  Letter from Dean’s Office confirming good standing (as applicable)

●  Letter of recommendation from a faculty member

●  Description of program prepared by sponsor or, if no sponsor, by your school or another school accepting responsibility.

●  Evidence of school approval for academic credit or acceptance of responsibility if no sponsor

PARAMETERS

●  A 2,500 word essay that can be used as an educational piece for newsletter submission in order to help educate others on working in a medically underserved area. (Photographs are encouraged.)

●  Final expense report with airfare receipts.

One recent recipient of the Overseas Assistance Grant awarded by the American Women’s Hospitals Service wrote, “I am anticipating the realization of a dream I have had for a long time practicing medicine in an underserved and culturally rich part of the world.”

To help make dreams like this a reality, AWHS provides assistance with airfare costs up to $1,500, connected with pursuing medical studies in an off-campus setting where the medically neglected will benefit. The Grants are awarded to national AMWA members completing their second, third, or fourth year of an accredited four-year U.S. medical or osteopathic medical school or a resident who will be spending a minimum of four weeks and no longer than one year in a sponsored program which will serve the needs of the medically underserved. The program must be sponsored by your school, another school, or an outside agency or, if there is no sponsor, it must be a program for which your school takes responsibility and provides academic credit.

Participation in the AWHS committee for one year following travel is highly encouraged and appreciated!

●  Overseas Assistance Grant provides airfare expenses up to $1,000

●  Experience will benefit the underserved population as well as the student/resident

●  Applicant will be able to use this experience to educate others on global health and working abroad

●  Grantee will be spending no less than four weeks nor more than one year at the site

●  Application must be submitted by January 5th, April 5th, July 5th and October 5th for review

●  Applicant must be a National Student or Resident Member of AMWA

●  Students attending a U.S. accredited medical or osteopathic medical school and completing their second, third or fourth year or a Resident may apply for the grant

●  Grant is a one-time, non-renewable grant

●  Program must be sponsored by your medical school, another medical school, or an outside agency and for which your school or another medical school or outside agency takes responsibility and provides academic credit

SELECTION PROCESS

●  A Reviewing Body of members of the AWHS Committee will review the applications.

●  Grading criteria includes: motivation for applying, how the grant will help the applicant’s advancement of knowledge, strength of letters of recommendation, the projected impact of proposed project on community, and level involvement with AMWA.

●  A majority of the grant reviewing body must approve of the application.

SUBMISSIONS UPON RETURN