2010 Application Packet

Part 1: Application Packet Instructions & Checklist -- Informational, no completion required.
(2-page Word file; About Downloading)

Part 2: Application Form -- To be completed by the applicant.
(3-page Word file; About Downloading)

Part 3: Statement from Program/Department Administrator -- To be completed by the administrator or key staff where applicant teaches.
(1-page Word file; About Downloading)

Part 4: Chair/Director Reference Form -- To be completed by the Chair or Director where applicant teaches.
(2-page Word file; About Downloading)

Part 5: Peer Reference Form -- To be completed by 2 fellow teachers.
(2-page Word file; About Downloading)

Part 6: Resident or Medical Student Letter of Recommendation -- To be completed by one person whom the applicant has taught.
(1-page Word file; About Downloading)

Pfizer Teacher Development Awards

2010 Application Packet

Supporting your Foundation means you believe in the power of family medicine and in the importance of helping others.

“The ultimate beneficiary...is the patients. Because all of this is to improve patient outcomes.”
Michael O. Fleming , MD