Dr.MIMS Awards 2014 Application form
Award 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
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Define your Program/ Article
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Who is the targeted beneficiary?
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What is the differentiating factor over other existing programs/ Articles?
Executive Summary – 1
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About your Program/ Article
Executive Summary – 2
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Describe the benefits to the beneficiary through this
Executive Summary – 3
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Who is the targeted beneficiary?
Market Analysis
What is the potential for your program to be successful?
Outline in a sentence or two and insert inputs immediately below each question
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What is the total reach of your program/ Article? India and Global
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What are all the risks you foresee for your program and how do you plan to mitigate these risks?
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Information on Competing programs / Articles (if any)
Strategy for Reachability
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How will your program / Article reach the beneficiary?
Testimonials
Program Link/ Scanned pages of Article
Insert maximum two
Brief Profile of the Applicant