Cohort 1 · by invitation

Submit your dossier.

Tell the story of one piece of work: the problem, your starting point, what was done, what changed, and who can confirm it. Plan about an hour. Plain language is best; reviewers look for evidence, not polish.

This form is for Cohort 1 invitation codes. No code? Everyone can apply from a free account, with autosave and progress tracking. Apply from your account.

Your answers are saved in this browser as you type, so you can come back later. Nothing is sent until you press Submit.

Who is applying?

An individual A project or team

1. About you

Full nameEmail

Job titleOrganisation

Country where the work happenedProfession

2. The work

CategoryTitle of the work

3. The problem and your starting point

Reviewers score this under “Problem & relevance” (15 points).

What was the problem, and who did it affect?0 / 3000How big was it before you started? (your baseline)One number or observation with its source and date, e.g. “22% of handovers had no escalation check (unit audit, Jan–Jun 2025)”.0 / 2000

4. What was done, and your part in it

Scored under “Intervention & individual contribution” (20 points).

What was changed?0 / 3000What did you personally do?For a project, what each named member did. Use verbs you own: designed, led, trained, audited.0 / 2000

5. What changed

Scored under “Evidence quality” (25) and “Magnitude & context” (20).

What changed, measured the same way as the baseline?0 / 3000The main measure you used0 / 500Time period coverede.g. “12 months, Mar 2025 – Feb 2026”0 / 200Who benefited, and how many?0 / 2000

6. Lasting change, limits and ethics

Scored under “Sustainability & transferability” (10) and “Ethics, equity & transparency” (10).

Is the change still in place? Has anyone else adopted it?0 / 2000Honest limitsA single site, a small sample, other changes at the same time. Naming them makes your case stronger.0 / 2000Approvals, equity and patient dataAny quality or ethics registration, who might have been left out, and how you kept patient data out of this dossier.0 / 2000

7. Someone who can confirm the facts

A manager, educator or department head who knows the work. We may contact them. They must not be a family member.

Their nameTheir email

Their role

8. Evidence

Links to your evidenceA shared folder or documents (Google Drive, OneDrive, Dropbox) with audit summaries, run charts, protocols, training records or attestations. Set sharing to “anyone with the link can view”. Remove all patient names, record numbers, faces and exact dates first.

9. Declarations

This dossier and its evidence contain no patient-identifiable information. If selected, I will describe the honor only as the wording policy allows (with the year and a link, never as letters after my name). I have read the terms. The information is true to the best of my knowledge, and Evinca may contact my verifier. I agree that Evinca stores and reviews this dossier as described in the privacy notice. Only a short summary is published, and only if I am selected and approve it.

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