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Home > Web Awards > eHealthcare Leadership Awards Entry Form

eHealthcare Leadership Awards Entry Form

Entry Deadline – 06/30/2008
[Entries Accepted through 07/15/2008 with Late Fee]
Please note the following before completing the entry form:

* Complete all information and check that spelling is correct. Enter the name of the Web site organization exactly as you wish it to appear on the certificate should an award be received.

* Be sure that you select just one Group Classification per entry form. You may enter as many Award Categories as you wish (up to the maximum of 12).

* Complete an entry form for each Web site or URL you wish to submit. When you have submitted an entry form, use the back button on your browser to go back to the entry form; make changes and then complete the submission process.

* As appropriate to certain award entries, forward to us other information that can't be readily accessed on your Web site and that you believe is critical to the evaluation of your entry.

* If a Web site requires a password to access most content/functionality, please indicate this in the appropriate box on the form. You will be contacted later to supply password and access time for judging.

* Business/process improvement applications may be requested to supply additional support so that the site can be fully evaluated.

* Complete all information and check that spelling is correct. Enter the name of the Web site organization exactly as you wish it to appear on the certificate should an award be received.

* All entries are final.

* Call us at 914-967-6741 or e-mail us at awards@strategichealthcare.com if you have any questions.

Entry Fees Per Award Category Entered:

* Division I $70 per Award Category entered

* Division II $95 per Award Category entered

* Best Intranet Site (either division) $135

* eHealth Organizational Commitment (either division) $135

Please complete the form below, then click “next” to go to our secure payment page.

WEBSITE INFORMATION
Entry Submitted by:	Web site organizatiion Agency
URL (Web Address):
Does Web site require password to access most content/functionality?:	Yes (you will be contacted later to supply password and access time for judging) No
Organization:
Contact First Name:
Contact Last Name:
Title:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
E-mail:
Telephone:
Fax:

AGENCY INFORMATION
Organization:
Type of Agency:
Contact First Name:
Contact Last Name:
Title:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
E-mail:
Telephone:
Fax:

AWARD INFORMATION
An Awards certificate should be sent to:	Web Organization Web Site’s Design/Strategy/Public Relations Organization* (Additional Awards certificates can be ordered following the announcement of winning entries.)
*With agency submissions, who should be listed on the certificate?:	Web Organization Web Site’s Design/Strategy/Public Relations Organization
Group Classification (Select one):	Division I Hospital under 200 beds Hospital 201-399 beds Hospital 400+ beds Healthcare System Hospital Subsite/Center of Excellence Medical Practice/Clinic Other Healthcare Facilities (rehab, pysch, long-term care, etc.) Healthcare Association/Professional Society Division II HMO/PPO/Other Insurers Consumer General Health Site Consumer Disease-Focused Site Physician/Clinician-Focused Site Pharmaceutical & Medical Equipment Manufacturer Consumer Healthcare Product Sales Site Business/Process Improvement Applications or Products Corporate Vendor/Supplier Site Other Healthcare Sites (including special site sections, both divisions) (briefly describe below) (specify)
Award Categories (Select one or more):	Regular Award Categories Best Overall Internet Site Best Site Design Best Web 2.0/Rich Media Best Interactive Site Best Health/Healthcare Content Best e-Business Site Best Care/Disease Management Site Best Employee Recruitment Best Newsroom Best Quality Communication Special Award Categories Best Intranet Site eHealth Organizational Commitment