1. Medical Student Application for a $1,000 Innovation Grant
Insert the Full Title of Project Here
Insert your name & here List your medical school here Date application submitted here
What is your innovation project?
Project methodology:
List step-by-step your project plans and a timeline for implementing the project from start to finish. Include evaluation and analysis strategies. Include your final presentation at the MAFP Innovation & Research Forum held annually Jan/Feb.
Insert a picture of yourself:
Tell us about yourself:
(Your name, what spurs your interest in this project, one fun fact about yourself, etc.)
Describe how this project is innovative and different than what others have done before.
List your Family Physician Mentor and other partners:
Budget (up to $1,000):
Provide a line item budget that details how the funds will be spent i.e. supplies, professional services, patient recruitment, equipment, etc.
Why is your project important to family physicians?