<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> laingbuisson.co.uk : Independent Healthcare Awards - Entry Form

Independent Healthcare Awards

___ Entry Form 2007

Closing Date For Entry
30 APRIL 2007

    1. Choose the Category Of Award for which you wish to nominate yourself, a colleague or a team. If you wish to make an entry for more than one category, you must fill in a separate entry form for each category of award.
    2. Read the judging criteria carefully and prepare a summary overleaf (maximum 250 words) of why you wish the entry to be considered.
    3. Complete this entry form and send or you may also enter by:
    		 At the 2006 independent Healthcare Awards
Entry Rules:
  • Open to all people working in the independent healthcare services sector, including independent hospitals, clinic and hospices, diagnostic services, care homes, home care and home healthcare services, children’s homes, medical agencies, primary care services, occupational health services and flexible staffing agencies and groups which operate them.
  • An individual or team may be nominated for one or more of the 12 awards, though any one nomination will not be selected as a finalist for more than one award.
  • Each entry must be in the name of an individual or a team. In the case of a team, one individual must be identified to represent that team.
  • All entries will be treated as confidential. Any requests for media access will be passed on to the nominee’s organisation, which may decide on what access to give at its discretion.
  • Closing date for entries: 30 April 2007 Entries will be acknowledged by return.


Please enter required fields *

Awards Categories
*

Your Details
 Name of Nominee^ *

^ If you are nominating a ‘team’ of two or more individuals, enter the name and details of the person who will act as the main contact for the purpose of the awards, and then give details of the other members of the team in the 'MoreMembers' box. 'MoreMembers'
 Job Title*
 Organisation*
 Address*
 Telephone*
 Email*
Nominator
Name*_____
Telephone*_-
Email*_____
 
  Date*
 
 Supporting Information
Please Enter in the space below any relevent information.
 


Closing Date For Entry
30 APRIL 2007

Enquiries:
Please call 020 7841 0046 email: awards@laingbuisson.co.uk