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L’Oréal International Awards for Social Responsibility in Dermatology 2019 APPLICATION FORM 1. Project title: 2. Project leader* *Project leader must be a qualified dermatologist Person in charge: doctor Doctor registration number: Hospital: 1
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Page 1: €¦  · Web viewL’Oréal International Awards for Social Responsibility in Dermatology 2019. APPLICATION FORM. 1. Project title: 2. Project leader* *Project leader must be a

L’Oréal International Awards for Social Responsibility in Dermatology 2019

APPLICATION FORM

1. Project title:

2. Project leader*

*Project leader must be a qualified dermatologist

Person in charge: doctor

Doctor registration number:

Hospital:

Address:

Country:

Phone:

Email:

If the project is managed by an association/organization, please specify:

Name of the association/organization:

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Company registration number:

Address:

Phone:

Email:

Website (if applicable):

For associations/organizations, form of association and type of beneficiaries (supporters, members etc):

Aim of the association/organization:

Activities of the association/organization:

3. Overview of the project and your experience:

What does the project consist of? What is the main goal?

In which of the three main fields that we have highlighted does your project fit under? (Tick all that apply)

Prevention and education on skin health: any initiative favoring the prevention of dermatological illnesses, and education for patients, their families and the general public (including support networks and

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campaigns) on dermatological pathology, dermatological conditions, impact awareness and promotion of good, healthy behavior

Examples include, but are not limited to: consultations/patient–family information workshops, school campaigns, information campaigns, advice on environmental factors and healthy living etc.

Improved quality of life and self-esteem for people facing skin issues: projects favoring improvements in quality of life for patients, whether this be physical or psychological

Examples include but are not limited to: supporting and accompanying patients, help in accepting their condition(s), (psychological therapies) and reducing the stigma attached to their disease (e.g. make-up workshops, behavior therapy) etc.

Access to care, coverage and surgery: projects aimed at facilitating public and patient access to care

Examples include, but are not limited to: free mole-screening, free consultations, travelling doctors, nurse training, make-up workshops, free reconstructive surgery etc.

Please explain in what way your projects fit the areas you have ticked.

Describe, from your career path and your experience as a dermatologist, what led you to undertake this project?

Describe in a few lines the context of your project:

State the problem that you would like to address:

Indicate the target population of your project:

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What were your reasons for starting this project?

How could your project be defined as a responsible initiative?

How could your project be defined as innovative?

When did your project begin?

4. Competencies, skills, partners:

What experience and skills were used to put this project into place and bring it into effect?

Who were the main partners (technical, financial, institutional, administrative etc.) involved in this project?

5. Project schedule

Describe in the following table the real actions put into place within the scope of this project, including frequency, the highlighted subjects, nature of participants, target population (type and number), supports used.

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Summary table of main actions carried out within the scope of the project

Dates

Location: premises, town

Nature of action, subject, participants, target audience, population (number), directly or indirectly, affected by this project, etc.

Supports and means used

What are the next steps for your project? How would you develop the project further? What do you want to develop if you win the prize?

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6. Patient benefit

In your opinion, what were the benefits of this project for patients in terms of education, access to care, acceptance of their condition, well-being, self-esteem, adherence to treatment, and reduced stigma? Please highlight in particular the benefits for patients in terms of their social integration.

Could you provide an estimate of the number of patients who have benefitted from your initiative since its launch?

7. Publicity for your project

To evaluate the impact of your project, please include with your application any document produced by you or by a third-party organization concerning your project (press cuttings, photos, videos, internet site, pamphlet, brochure).

By including content to your application you agree to refrain from violating other’s copyright or image rights or privacy rights.

Please note the size limits when uploading your material:

- Photos: total size limit: 20 MB- Video: total size limit: 20 MB

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INTERNATIONAL AWARDS FOR SOCIAL RESPONSIBILITY IN DERMATOLOGY

L’Oréal are proud to introduce the 3rd edition of International Awards for Social Responsibility in Dermatology to be held during the 24th World Congress of Dermatology in Milan, Italy on 10th June 2019.

Patients with dermatological conditions may frequently face discrimination and feel socially excluded as a result of their skin condition. L’Oréal teams are in daily contact with dermatologists worldwide and recognize the valuable contribution of dermatology to society.

L’Oréal developed the Awards in partnership with the International League of Dermatological Societies and the 24 th

World Congress of Dermatology to reward voluntary dermatological initiatives, coming from individuals, associations or hospitals, favoring patient support and care in order to inspire confidence in patients, living with their condition on a daily basis.

The Awards aim to reward projects that favor social inclusion and self-esteem for patients with dermatological diseases, through improvement of quality of life, education and access to care. The Awards will bring to the forefront five projects in different continents around the world and will allow the winners to continue their work to improve the quality of life of their patients.

L’Oréal are proud to collaborate with the International League of Dermatological Societies for the 3 rd edition of the International Awards for Social Responsibility in Dermatology.

For more information related to the terms and conditions governing the Awards, please take a look at the Contest Terms available directly via the website: https://www.inspireskinconfidence.com/contest-terms/

For more information about what types of personal data we might collect or hold about you, how we use it, who we share it with, how we protect it and keep it secure, and your rights around your personal data, please take a look to our Privacy Policy directly accessible via the website:

https://www.inspireskinconfidence.com/privacy-policy/

ELIGIBILITY

These Awards aimed at all voluntary initiatives ran by dermatologists, coming from individuals, associations or hospitals and providing a real benefit to patients’ confidence, independent of their treatment, in three main areas: prevention and education, quality of life and self-esteem, and access to care which are described in further detail below.

THREE MAIN FIELDS HAVE BEEN HIGHLIGHTED:

1. Prevention and education on skin health: any initiative favoring the prevention of dermatological illnesses, and education for patients, their families and the general public (including support networks and campaigns) on dermatological pathology, dermatological conditions, impact awareness and promotion of good, healthy behavior Examples include, but are not limited to: consultations/patient–family information workshops, school campaigns, information campaigns, advice on environmental factors and healthy living etc.

2. Improved quality of life and self-esteem for people facing skin issues: projects favoring improvements in quality of life for patients, whether this be physical or psychological

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Examples include, but are not limited to: supporting and accompanying patients, help in accepting their condition(s) (psychological therapies) and reducing the stigma attached to their disease (e.g. make-up workshops, behavior therapy) etc.

3. Access to care, coverage and surgery: projects aimed at facilitating public and patient access to careExamples include, but are not limited to: free screening, free consultations, travelling doctors, nurse training, make-up workshops, free reconstructive surgery etc.

The project must fall specifically within the scope of a community project: a social project, focused on the patient, with the aim of improving their social integration, personal well-being, and self-esteem.

Projects providing benefit to patients by virtue of a medical treatment will not be considered.

SELECTION CRITERIA

THE FOLLOWING CRITERIA WILL BE TAKEN INTO ACCOUNT WHEN SELECTING PROJECTS:

Community nature: the project must fall within one of the three fields described above Diversity: population targeted, actions put into place Relevance: benefits of the initiative within its context, relevance of the actions or means put into place in terms

of population targeted, topics addressed, supports used Originality/innovation: criteria determining the specific nature of the project Scope: number of towns, regions affected, number of patients benefitting Project lifespan: the projects must still be going strong in 2019, they must have been up and running for at

least 1 year Patient benefits:

- Social inclusion: increased confidence that allows patients to better integrate with other people e.g. socially, at work, in their local communities

- Improved self-esteem- Reduced stigma attached to their dermatological condition- Individual acceptance of the disease and treatment: recovery becomes the patient’s personal project - Patient well-being: improved physical and psychological well-being (quality of life) and attention to the

comfort and state of mind of the patient- Adherence to treatment: the patient is more inclined to follow therapeutic advice - Education about their disease, promotion of good, healthy behavior- Access to care: new patients being treated thanks to assistance with coverage; surgery etc.

APPLICATION PROCESS

Applicants are invited to complete the attached application form, with all relevant documents, to allow a detailed assessment of the project.

(EXTENDED DEADLINE) The closing date for applications is Monday March 4th, 2019 at 23:59 (UTC+2) Friday March 15th, 2019 at 23:59 (UTC+2)

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Once your applications have been submitted on the website (Ajouter URL pour apply now), they will be assessed and checked for eligibility for the award. They will be sent to an independent Scientific Committee of 5 internationally renowned dermatology experts, members of the International League of Dermatological Societies, who will study the different projects.

At the end of this stage, five winners, one from the five major global geographical regions (Asia Pacific, Africa and Middle East, Europe, North America, South and Central America) will be selected by the committee members.

The five winning projects will be invited to receive the L’Oréal award on the 10th of June 2019, during the WCD.

PRIZE

The five winning projects will each receive a trophy and a grand of € 20,000.

THE AWARD WINNERS

Following announcement of the successful applicants, the Awardees will be asked to share regular updates on their projects (e.g. photographs, videos, how the prize money has contributed to its continued development). The award-winning projects shall also be used in communications related to the awards (e.g. media communications, scientific journals, meetings, congresses and L’Oréal corporate communications) and promoting the role of the dermatologist in social responsibility.

Awardees will also be asked to share their experience with other doctors during the course of scientific conferences and meetings in the run up to the next Awards.

KEY DATES

Closing date for applications: Monday March 4th, 2019 at 23:59 (UTC+2) EXTENDED DEADLINE: Closing date for applications: Friday March 15th, 2019 at 23:59 (UTC+2) Awards announcement during the WCD: Monday, June 10, 2019.

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