Online Entry Form

The online entry system is now live and will close on Friday 28th January, 2011. Please make your nomination below. All fields marked with * are required information fields and entrants may be contacted by the organisers of the awards.

If you are having any problems with the online entry call Corporate Reputations on 01 661 8915 or please email info@healthliteracy.ie for more information.

Entry Details

*Category for Nomination (one only per submission)

Category A: Best Project in General Practice
Category B: Best Project in a Hospital
Category C: Best Project in the Community or in a Social Setting
Category D: Best Health Promotion Project
Category E: Best Health Communication through Journalism

For those submitting an entry online only, one set of support materials is required. Please do not attach more than one set of support materials as part of your online entry.

Declaration

The individual or representative of the organisation submitting the project for the Awards should tick the declaration below.

I/We confirm that all the information set out in the attached entry form, submission and supporting material (if any) is correct.

I agree with the above terms.

Please attach any support materials for this application by uploading the relevant PDF or Word documents.

OR

You may also post any support materials for this application to the following address, clearly noting the category which you are entering.

Please send your entry to: Crystal Clear MSD Health Literacy Awards, 25 Merrion Square, Dublin 2 by 12 noon on Friday 28 January 2011.

Please do not attach or post more than one set of support materials per category.