Submit your Initiative

Submission Form - EU Health Award for NGOs 2017

1. INFORMATION of the ORGANISATION



 

CONTACT PERSON :


 


 


 


 


 

ADDRESS of the organisation :


 


 

 
At which level is the applicant organisation acting

 

 

*The applicant is a legally established non-governmental body (civil society organisation), non-profit-making, not dependent from industry, and without commercial and business or other conflicting interests.


 

 

Space for maximum 2000 characters (without spaces).
 
Space for maximum 2000 characters (without spaces).
 

2. GENERAL INFORMATION ON THE EXPERIENCE OR INITIATIVE

Please fill in as appropriate

 
Initiatives can be ongoing or must have been started on any date from January 2015.
 
 
Ongoing

(Maximum 500 characters without spaces)
 
(Maximum 1000 characters without spaces)
 
 


 
 


 
 
Space for maximum 4000 characters (without spaces).
 
(Maximum 10 pages – 1500 characters per page, without spaces)

This summary report of maximum 10 pages should contain at least the following parts: case study, action proposed, methodology, results and conclusions. Your report should demonstrate how your initiative helps to achieve higher level of public health for EU-citizens through vaccination.

It should also cover explicitly the award criteria of technical quality: relevance, effectiveness, transferability, sustainability, intersectional collaboration and innovation and creativity. Please have a look at the criteria page for a detailed explanation of the technical quality award criteria.


 
Space for maximum 1000 characters (without spaces).
 


To finalise your application, you will need to sign and date the Declaration of Honour and to mail it in by post to the following address:

European Commission
Directorate General for Health and Food Safety
Directorate for Public Health, Country Knowledge and Crisis Management
Unit C4 Health Determinants and Inequality

to the attention of:

The EU Health Policy Platform team
Office 01/080
Hitec Building
11 rue Eugene Ruppert, Gasperich
L­2453 Luxembourg
Luxembourg

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