Dr.MIMS Awards 2014 Application formAward Category: Best Health Education Initiative through Media

Applicant Name:

Designation:

E-mail:

Mobile No:

Postal Address:

Pin code / Zip code:

Snapshot Outline in a sentence or two and insert inputs immediately below each question

• Define your Program/ Article

• Who is the targeted beneficiary?

• What is the differentiating factor over other existing programs/ Articles?

Executive Summary – 1

• About your Program/ Article

Executive Summary – 2

• Describe the benefits to the beneficiary through this

Executive Summary – 3

• Who is the targeted beneficiary?

Market AnalysisWhat is the potential for your program to be successful?

Outline in a sentence or two and insert inputs immediately below each question

• What is the total reach of your program/ Article? India and Global

• What are all the risks you foresee for your program and how do you plan to mitigate these risks?

• Information on Competing programs / Articles (if any)

Strategy for Reachability

• How will your program / Article reach the beneficiary?

Testimonials

Program Link/ Scanned pages of ArticleInsert maximum two

Brief Profile of the Applicant