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Dr. Kenneth J. Friedman Vermont CFIDS Scholarship
Medical Student Scholarship Program

Dear Scholarship Applicant:

Thank you for your interest in applying for the Dr. Kenneth J. Friedman-Vermont (KJF-V) CFIDS
Scholarship offered by the Vermont CFIDS Association.

The purpose of this scholarship is to encourage you to learn about Chronic Fatigue Immune Dysfunction
Syndrome by writing an essay about this illness during the summer between your first and second
years of medical school. CFIDS is also known as Chronic Fatigue Syndrome and ME/CFS.

The KJF-V Medical Student CFIDS Scholarship is not a financial need scholarship. It is open to all
students who will complete their first year of medical school at the University of Vermont in June,
2009, will be enrolled for their second year of medical school in September, 2009, and are in good
academic standing.

The winner of the scholarship will receive a $1,000 award that will be applied toward the tuition of his/
her second year of medical education. Everyone who submits an essay will receive a certificate of
participation. Selected essays will be published on the Vermont CFIDS website and in other appropriate
places.

Completed applications must be received electronically no later than August 15, 2009. The winner
will be announced by September 15, 2009.

If you need an additional copy of this application or any portion of it, you may download the application
from the Vermont CFIDS Association website: www.vtcfids.org

We hope that the process of writing the essay for this scholarship, and possibly being the winner of it,
will contribute to your becoming a physician who is better able to assist and provide compassionate
care for patients suffering from CFIDS and similar, complex illnesses with no known cures.

The Vermont CFIDS Association is a registered 501(c)(3) non-profit charitable organization. The
goals of the Vermont CFIDS Association are to: (1) raise public awareness of Chronic Fatigue Immune
Dysfunction Syndrome (CFIDS), (2) support and advocate for Vermonters who suffer the debilitating
symptoms of this and related disorders, and (3) facilitate the education of patients, families,
healthcare providers and primary care physicians in order to validate and establish a recognized and
acceptable protocol for the diagnosis and treatment of CFIDS.

If you have any questions regarding your CFS Medical Student Scholarship application, or the Vermont
CFIDS Association, please contact Rik Carlson (phone: 1-800-296-1445 & leave a message;
email:admin@vtcfids.org

Sincerely,

Rik Carlson
Chair, Medical Student Scholarship Committee
Vermont CFIDS Association

Dr. Kenneth J. Friedman-Vermont CFIDS Scholarship
UVM Medical Student Scholarship Program

Application/Applicant Requirements:
Please read the application/applicant requirements below carefully:
Applicants must:

1. Be a medical student who will successfully complete his/her first year of medical school at the University
of Vermont in June, 2009, will be enrolled for his/her second year in September, 2009, and is
in good academic standing.

2. Complete the application in every detail. Incomplete applications will automatically disqualify applicants.
Receipt of submitted completed applications will be acknowledged.

3. Research and write an essay on the stated topic concerning Chronic Fatigue Immune Dysfunction
Syndrome. The essay must be written between June 15 and August 15, 2009. The work must be the
applicant䴜s, represent original work, and not have been offered or submitted for other purposes.

4. Agree that the submitted essay becomes the property of the Vermont CFIDS Association, and that
the essay may be used by the Association for advertisement purposes and/or published in any of the
Association䴜s publications.

5. Scan an unofficial transcript from UVM and email to Rik Carlson (email: admin@vtcfids.org) or arrange
to have an unofficial transcript sent by mail to The VT CFIDS Association, P.O.Box 3126, Burlington,
VT 05408-3126).

6. Submit the application electronically by August 15, 2009 to Rik Carlson email: admin@vtcfids.org

The Dr. Kenneth J. Friedman Vermont Association Medical Student Scholarship
at the University of Vermont
APPLICATION FORM
PART A: APPLICANT INFORMATION
To be completed by applicant (please type).
Name: ______________________________________________________________________
Mailing Address: ______________________________________________________________
Number Street
_______________________________________________________
City State Zip Code
Email Address: _____________________________________________________________
Home Phone: __________________________
Area Code Number
Cell Phone: __________________________________
Area Code Number
I will successfully complete my first year in medical school at the University of Vermont in June, 2009,
and will enroll for my second year in August, 2009. _____Yes (check if correct)

Part F: Essay

Write an essay of approximately 3,000 words on the following topic: Chronic Fatigue Immune Dysfunction
Syndrome (CFIDS) is a complex multi-system disorder. Describe the symptoms, diagnosis
and principals of treatment for CFIDS. Include in your answer a discussion of the differential diagnosis
of CFIDS from other illnesses with similar presentations.

Your essay must not exceed 10 double-spaced pages of 12-point type with 1-inch margins.

References should be cited within the text of the essay using standard, medical journal format.

At least 10 references should be cited.

A bibliography containing all references cited in the essay should be included at the end of the essay.
The bibliography should be formatted using standard, medical journal format.

The document needs to be scholarly and well-referenced. Citing web sites as references is not acceptable.
The essay must not have been offered or submitted elsewhere.

Essays not conforming to these standards will not be considered.

A committee has been formed by Vermont CFIDS Association to review the submitted essays and select
the winner. Judging will be on the basis of scholarship, and the demonstration of understanding the
difficulties involved in diagnosing and providing compassionate and effective care to CFS patients.