Bewerbungsformular - Memento

Submission form sheet
Memento Preis für vernachlässigte Krankheiten 2017
Ärzte ohne Grenzen e.V. / DAHW Deutsche Lepra- und Tuberkulosehilfe e.V. / Brot für die Welt e.V. /
BUKO Pharma-Kampagne
Topic:
[please include one headline]
Institution
[institution name]
Corresponding Author
[name]
Website
[website]
Contact
References
[Email]
[Phone number]
[please include max. 5 scientific publications]
Summary
[additional: If available, please include reports in public media: TV, radio,
newspapers]
[summary of your project, max. 2 pages]
Relevance for the
MementoPreis?
Easy to explain to the public?
[What makes your project relevant for the Memento Preis? 0,5 page max.]
[Include a short explanation if you think your topic is easy to explain to nonscientific audience]
Submission max. 3 pages, plus additional max. 5 scientific publications as pdf-documents
Please send to [email protected]
1