Apply for an Ingenuity Award

Applications are due June 30, 2021.

You can apply for an Incyte Ingenuity Award by filling out the below online application or by downloading this PDF application and submitting it via email to IncyteIngenuity@VOZAdvisors.com.

Before you begin your application, please ensure you review the:

Eligibility requirements and disqualification guidelines

Judging criteria

Before submitting your application, please ensure that all information is accurate and correct, as you will not be able to save the application and edit it after submitting. For any additional questions you may have, please review the FAQs or email us at IncyteIngenuity@VOZAdvisors.com.

01: Contact & Organization Information

Name of Organization Required field

Contact name Required field

Job title Required field

Email address Required field

Phone number Required field Required field

Address Line 1 Required field

Address Line 2 (optional)

City Required field

State Required field

ZIP Required field Required field

Organization overview Required field

Does your proposed project involve collaboration with another organization or cross-functional team from another department?

YesNo Required field

If yes, please provide the name of the partnering organization or cross-functional team.

Please indicate which award you are applying for:

$35,000 Incyte Ingenuity Award$100,000 Incyte Ingenuity Award Required field

I have read and agree to all terms of eligibility criteria, confirm that I am applying on behalf of, or in collaboration with, a non-profit 501(c)(3), patient, policy, and/or caregiver organization or a healthcare organization/facility (i.e., hospitals, academic research centers, etc.), and have secured the necessary approvals to apply on behalf of said organization. Required field

Project Description

02: Project Description

Project name Required field

Project objective/summary Required field

Is this an ongoing/existing established program/project?

YesNo Required field

Proposed programs/projects must be separate from any existing established/ongoing activities, with the exception of considerably expanding an existing program.

Potential barriers Required field

Did you previously apply for the 2020 Incyte Ingenuity Award Program?

YesNo Required field

If yes, is the proposal you are submitting the same proposal from 2020?

YesNo Required field

If yes, please provide an addendum illustrating how the intended need the project seeks to address is still relevant and provide additional details on any changes made to the previously submitted proposal.

Required field Invalid File Type upload file up to 15MB

Total award amount requested $ Required field

Total amount requested in funding cannot exceed either award maximum amount or 25% of an applying organization’s overall funding.
Additionally, proposed program budgets cannot include indirect costs.

Funding Required field

Timeline Required field

Project metrics Required field

Acknowledgements

03: Acknowledgements

If you are the selected award recipient, you must:

Accept recognition by signing an agreement with Incyte.
Comply with Incyte policies and any federal, state or local requirements regarding transparency, sponsorships and/or charitable donations.
Confirm that the total amount requested in funding does not exceed 25% of an organization’s overall funding and does not include indirect costs.
Report on the progress of the initiative to the community (eg, through webinar, virtual advocacy day at Incyte) at milestones previously agreed upon with Incyte.
Conduct an interim and final review of the project with Incyte, including allocation of funding and results of the project.
Assume sole responsibility for the payment of all federal, state and local taxes and contributions imposed or required on income, unemployment insurance, social security and any other law or regulation.
Acknowledge that compensation and remuneration received pursuant to this program will be publicly reported by Incyte pursuant to any applicable transparency and aggregate spend laws or regulations as required.
Acknowledge that if deadlines are unlikely to be met, Incyte must be informed within a pre-determined timeframe, along with an explanation of the roadblock, proposed solution and an updated execution timeline.
Acknowledge that in subsequent years of the awards program, the award recipient may be asked to serve as a resource to future award recipients to share key learnings and insights.

I have read and agree to all terms as outlined above. Required field

Submit Application