Apply for a PBC Award

To ensure you are ready to complete the application process, we have put together a checklist for you. Please download and read the application guide before you start your application.

1. Applicant details

Your name and contact information (job title, phone number, email, etc.)

2. Organization details

Overview of your organization/institution (size, objectives, vision, etc.)

3. Project details

Project name, brief summary, full description and expected deliverables

4. Project objectives and measurements

  • What it is that you are trying to accomplish, why, and what action steps are required to meet the project goals?
  • How will your project be measured? How will you determine the success of your project? 

5. Funding

Budget plan and cost estimate (demonstration of cost-effectiveness where applicable)

 

Download budget checklist

    6. Submission Checklist

    Final checklist and agreements before you submit

    Before you start - have you checked if you are eligible?

     

    Please ensure that you have completed all sections of the application form before you submit – your application cannot be considered if you have not provided information for each section. Once you have completed the form, please send it (together with any supporting materials required) to practicetopolicy@interceptpharma.com.

    Should you have any questions about completing this form, please email the Practice to Policy® Health Awards Program team at practicetopolicy@interceptpharma.com