2. 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:

3. 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?

4. Executive Summary – 1 About your Program/ Article

5. Executive Summary – 2 Describe the benefits to the beneficiary through this

6. Executive Summary – 3 Who is the targeted beneficiary?

7. 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 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)

8. Strategy for Reachability How will your program / Article reach the beneficiary?

9. Testimonials

10. Program Link/ Scanned pages of Article Insert maximum two

11. Brief Profile of the Applicant