Impact Award Submission Form

The deadline for submitting applications to the Impact Award is 09:00 am, 28 February 2025 (GMT).

For submission guidelines, click Impact Award on the National Meeting Awards page.

What is your full name? ^*

What is your job title? ^*

What is the name of your workplace? ^*

Email Address ^*

Daytime telephone number ^*

Are you applying as an individual or on behalf of a group? ^*

Individual

Group

If you answered "Group" in the previous question, please provide each group member's full name, job title, workplace, and email address.

Please provide the title of your nomination. ^*

Please provide the background of the initiative. ^*

Please describe the action taken through the initiative. ^*

Please outline the positive impact the initiative has had on services. ^*

Check this box to confirm that this initiative has been delivered within the last 5 years. ^*

I confirm.