2000 Aesculapius Awards Entry Form

Please use a separate form for each entry. This form may be duplicated.
Please type or print

Title of Entry/WWW site address:
Contact Name: __________________________________________________
Title: __________________________________________________
Company Name: __________________________________________________
Address: __________________________________________________
City:  __________________________ State:  ___________________________
Zip Code:  ______________________ Phone:  __________________________
Fax:  __________________________ Email:  ___________________________
[ ]  Video PSA   [ ] Radio PSA [ ] WWW site
Length of PSA (seconds)  __________       WWW site: # of pages  __________

Category of Organization Primarily Responsible for PSA/WWW site (check one)

[ ] Hospital or Medical Institution [ ] Government Agency
[ ] Educational Organization or Foundation (non-profit) [ ] Trade or Professional Association
[ ] Educational Institution [ ] Media (Agency, PR firm, etc.)
[ ] Community Group (non-profit) [ ] Production Company
[ ] Corporate

Description:  Please attach a one-page description of the PSA/WWW site to include the following:

Entry Fee:  $50 per entry: Please make checks payable to the "Health Improvement Institute"

Entry Deadline: Entries and accompanying materials are due by September 1, 2000

Health Improvement Institute
5272 River Road, Suite 650
Bethesda MD 20816-1405
Tel: 301-652-1818 Fax: 301-652-1250


2000 CALL FOR ENTRIES

PURPOSE

The Aesculapius Awards, named for the ancient Greek God of healing, recognize organizations that have provided health information to the public through the use of television or radio public service announcements (PSAs) or world wide web (WWW) sites. They are intended to encourage excellence in health communication and promotion.

DEADLINE

Completed entry forms, fees and cassettes must reach the Health Improvement Institute by: September 1, 2000.

FEE

The entry fee is $50.00 in U.S. currency for each entry submitted.

ELIGIBILITY

Any PSA or WWW site that promotes public awareness, understanding or involvement in health, health care or health policy is eligible. For example, this can include information about healthy lifestyles, illness and injury prevention, medical care/research, or family and social concerns relating to health.

Active WWW sites and PSA's which first aired during the 1999 or 2000 calendar year are eligible. They must have been produced for public service (not commercial) use. PSAs must have aired at least five times. PSAs may be any acceptable broadcast length up to one minute (i.e., 10, 20, 30 or 60 seconds).

TECHNICAL REQUIREMENTS

Entries may be entered in any language. However, entries in a language other than English must be accompanied by the following:

Entry materials will not be returned. Winners will be notified by mail and will be required to assign non-exclusive use rights to the Health Improvement Institute, for use in promoting future Awards programs and other Institute programs.

Categories

PSAs or WWW Sites may be entered in one of the following categories, based on the type of organization principally responsible for design, production and distribution:


A highly qualified panel of communications and health professionals will judge entries.

PSAs will be judged on the following criteria:

Planning

Message Design

Production

Distribution and Reach

Evaluation

WWW sites will be judged on the following criteria:

Planning

Content and Credibility

Interactivity/User-friendliness

Creativity

Aesthetics/Readability

Evaluation