APPLICATION FORM

The Margaret Owen-Waite Memorial Fund (MOWMF) provides a $1,000 scholarship to a FMWC practicing physician full member or resident wishing to further her medical education or complete temporary work in an under serviced, rural location or developing country or present an original paper at a medical meeting, with priority given to Medical Women’s International Association (MWIA) meetings.

Nominations are open until December 31. Self nomination is encouraged.

The Margaret Owens-Waite Memorial Fund

Nominee's name:*
Nominee's FMWC branch:
Type & Location of Practice:*
Nominee's highest education level:*
Nominee's email address:*
Nominator's name:*
Nominator's FMWC branch:
Nominator's email address:*
Has the nominee ever received a MOWMF scholarship before?*
- YES
- NO
- Not sure
Reasons for nominating this member and plans for the fund:*

*Please note that this application isn't complete until the National Office receives a copy of the nominee's CV via email at: [email protected]**.

Past Recipients:

2013 - Dr. Vivien Brown
2011 - Dr. Dale Dewar
2010 - Dr. Kara Jansen

2009 - Dr. Christine Fernandez

2009- Dr. Gillian Ramsay
2000 - Dr. Susan Reid

Awards

Margaret Owen-Waite Memorial Fund

APPLICATION FORM

The Margaret Owens-Waite Memorial Fund

***Please note that this application isn't complete until the National Office receives a copy of the nominee's CV via email at: [email protected].

Awards

*Please note that this application isn't complete until the National Office receives a copy of the nominee's CV via email at: [email protected]**.