ENGAGe Award 2027

ENGAGe Award 27 nomination form
Name

First NameLast Name
Email
example@example.com
Patient Advocacy Group (PAG)
Country

Advocacy project overview
Project title
Both in your language and in English
Provide a short summary of the project
Project initiated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project finished

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Geographical scope

Main narrative
What issue did your project address and why was it important?
What was the impact? (include data or quotes if available)
How did you communicate with your audience(s)? (languages, channels, innovations)
What are your next steps to sustain or scale this work?

Supporting materials
Upload your 90 second video introduction (not compulsory)

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Or insert link here
1 page visual summary/4 page PPT (including infographics, diagram, campaign image)

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Letter of support (quote from a participant, medical advocate letter, etc.)

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Should be Empty: