GLEN JOHNSON, MD MINORITY MEDICAL STUDENT
The Texas Academy of Family Physicians Foundation established this scholarship fund
to honor TAFP Past President Dr. Glen Johnson. This scholarship will be awarded to a
third or fourth year medical student at a Texas medical school who is an underrepresented
racial/ethnic minority and has demonstrated an interest in family medicine. Preference
will be given to African American medical students. The scholarship is administered
through the Texas Academy of Family Physicians Foundation, the philanthropic arm of
1. Third or fourth year medical student in good standing at a Texas medical
2. Student is an underrepresented racial/ethnic minority.
3. Student has a strong interest in family medicine or has already chosen family
4. Student is able to attend the Texas Academy of Family Physicians Annual
Session held in July in order to be presented the scholarship check.
1. Student meets the above eligibility criteria.
2. Completed application.
3. Letter of recommendation from a faculty member or preceptor.
4. Copy of medical school transcript.
5. Copy of curriculum vitae.
Deadline for submission of applications: May 9, 2012
Selection/notification of scholarship recipient June 1, 2012
Scholarship awarded to student: TAFP Annual Session in
Austin, Texas, July 14, 2012
Glen Johnson, MD Minority Medical Student Scholarship
(Please print or type)
Race/Ethnic category _______________________________________
City, Zip ____________________________________________
Pager # ____________________________________________
Please briefly describe your plans for a career in family medicine:
Provide a brief personal statement: (Include information such as where you are from,
your family, educational background, interests, hobbies, etc.)
Have you been involved in a Family Practice Student Association/Interest Group?
If yes, describe your participation.
References. Please provide the names and phone numbers of two physicians whom we
could contact to ask about you. If possible, provide the names of family physicians.
Please attach your curriculum vitae.
Please note: A combination of factors (commitment to a career in family medicine,
quality of personal statement, academic performance, faculty recommendations etc.) will
be considered in selecting the recipient of this scholarship. We appreciate your interest in
Texas Academy of Family Physicians Foundation
Attention: Kathy McCarthy
12012 Technology Blvd., Suite 200
Austin, Texas 78727
512-329-8666, ext 14