Enter the Awards online

You can enter now by completing the onscreen form below. You can also send up to two attachments to support the entry using this facility.

The online form is the preferred route for entry. If you need to complete your entry offline, please download the pdf version.

Category

Title of entry

Name(s) of entrant(s)

Position

Department

Organisation

Address

City/town

County

Postcode

Telephone number

Fax number

Email address

Name(s) of organisation(s) entering

The number of employees in the unit(s)

The name of the chief executive or managing director

Project summary (500 words)

Where did you hear about the Awards?

Other (please specify)

You can upload up to two attachments to support your entry. These can be Word documents or Acrobat PDFs. Each file must be less than 2MB in size.

File 1

File 2

Declaration and data consent statement

	On behalf of the organisation named I understand and agree to abide by the rules of the competition and I authorise the organisers and sponsors to publicise our entry for the purpose of furthering the aims and objectives of this competition.
	I consent to the use of my personal data by the members of the Awarding Consortium for the core use of running and promoting the E-Health Innovation Awards.