H.E Chief Olusegun Obasanjo
UNDER THE HIGH PATRONAGE OF
HIS EXCELLENCY CHIEF OLUSEGUN OBASANJO GCFR, Ph.D
( Former President of The Federal Republic of Nigeria )

    Advocacy Contest Application

    Please provide your information below indicating your desire to enter the 2019 Sickle Cell Advocacy Contest.

    I Am Contesting As An*

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    Did you work with a team?*

    Select the checkbox below if you worked with a team to carry out the advocacy initiative or activity.

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    Initiative/Activity Title: *

    Initiative/Activity Theme (If Any)

    Sickle Cell Issue Addressed: *

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    Summary/Description *

    Briefly describe the advocacy initiative or activity

    Main messages or Recommendations*

    Outline the main messages and/or recommendations conveyed by the advocacy initiative or activity

    Results Achieved *

    What results were achieved through the advocacy initiative or activity?

    Impact of the Initiative/Activity *

    What is the actual or expected impact of the advocacy initiative or activity?

    My Activity/Initiative Has A *

    Twitter Handle


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    Instagram Page


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    Facebook Page


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    Website/Webpage


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    Photo Uploads / Video Link

    Upload your selected photos and/or supply a link to a video coverage about your advocacy/initiative

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    Link to Video

    Enter url to your advocacy video hosted on either your website, youtube or other video platforms

    By submitting this application, you agree to attend the congress event and consent to the display and usage of your submitted materials for the necessary activities to facilitate the success of this contest.

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    African Congress on Sickle Cell Disease