Information Request

To make an information request, please complete the applicable sections of the following form. All fields marked with * are required.

Click 'submit' at the bottom of the form to transmit your request.


*Requestor's Name:
 

Organization Name:
 

Mailing Address (complete if you would like a paper copy of the requested files):

Street Address: 

City:

State:

Zip Code:

Email Address (complete if you would like PDF format of the requested files):
 

Phone Number
(please enter in the following format xxx-xxx-xxxx)

How do you plan to use this information?

 

*Please identify the specific title of the document, description of document contents and the date it was issued (if applicable). For information pertaining to funded projects, please indicate the project title, and portions of the proposal that you are interested in receiving. Project descriptions are available for review on our webpage.

 
Contact Us

Advancing a Healthier Wisconsin Endowment Research and Education Program (REP)
P: 414.955.8075 | E: ahw@mcw.edu

Advancing a Healthier Wisconsin Endowment Healthier Wisconsin Partnership Program (HWPP)
P: 414.955.4350 | E: healthierwisconsin@mcw.edu

Medical College of Wisconsin
8701 Watertown Plank Road
Milwaukee, WI 53226
(414) 955-8296
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Page Updated 09/04/2014
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