Screening Application

  • This is a screening application to identify qualifications, research projects and interests, and determine which sites would best suit you professionally. Applications to specific sites will follow, should the AFWH be a good fit.
  • Max. file size: 24 MB.
  • Eligibility Requirements - Physicians

    Eligible physicians must have graduated from an Accreditation Council for Graduate Medical Education (ACGME) accredited residency; be board certified or board eligible in internal medicine (or one of its subspecialties), family practice, gynecology, psychiatry, or surgery; and have an active, unrestricted U.S. medical license. International medical graduates must also have a current visa to participate in the program and an Educational Commission for Foreign Medical Graduates (ECFMG) certificate that is valid indefinitely.
  • Eligibility Requirements - Associated Health Professionals

    Eligible associated health professionals must be a US citizen, must be doctorally prepared (or accepted into a doctoral program- nurses only), must be a clinician, demonstrate interest in pursuing a VA career with women’s health as a significant focus, be qualified in a health profession relevant to the health of women Veterans (nurses psychologists, and others), not be simultaneously enrolled in an accredited clinical training program, demonstrate interest in pursuing a VA career with women’s health as a significant focus and meet the education and licensure requirements listed in the program announcement.
  • Contact Information

    Please click the submit button once and wait. If you are having a technical issue, email or call 1-608-280-7000 (ask for Kate West or Dr. Madelyn Weiker).
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