Apply for an Incyte Ingenuity Award

Applications are due June 24, 2022.

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:

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: Eligibility Check

Are you eligible for an Incyte Ingenuity Award?

Please select one of the below options to confirm how you and your organization are eligible for an Incyte Ingenuity Award:

I am applying on behalf of a non-profit 501(c)(3), patient, policy, or caregiver organizationI am a healthcare provider and/or mid-level/junior faculty member of a healthcare organization and am applying on behalf of my institutionI and/or my company is partnering with either a non-profit organization or a healthcare facility (i.e., hospitals, academic research centers, etc.) to apply for this award Required field

Contact & Organization Information

02: 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

Connection to the GVHD Community 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.

Award Selection

Please indicate which award you are applying for:

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

Are you interested in being considered for either of the GVHD award amounts? If yes and you are selected for a different amount than initially selected, you will be asked to confirm how the new amount will impact your project scope, intended deliverables, and other project-specific factors.

Yes, I am interested in being considered for either GVHD award and will be willing to confirm how the different award amount will impact the proposed project.No, I am only interested in being considered for the award amount selected above. Required field

Project Proposal

03: Project Proposal

Project Name Required field

Project 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.

Did you previously apply for an Incyte Ingenuity Award?

YesNo Required field

If yes, please provide an addendum answering the following prompts :

- Please elaborate why the proposed project is still relevant in 2022 and how the intended need the project seeks to address continues to be a challenge for the GVHD community

- Please provide additional detail as to why any changes were made to the previously submitted proposal that is relevant for the judges

Please title this addendum "Supporting Document - <Your Project Name>" and include along with your application.

Required field Invalid File Type upload file up to 15MB

x

If submitting via email, please attach along with application. Please be robust in your responses, as there are new judges in the judging panel.

Project Description Required field

Project Objectives Required field

Project Funding

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.

Budget Breakdown Required field

Timeline Required field

Measuring Success Required field

Potential Barriers Required field

Acknowledgements

04: Acknowledgements

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

Additionally, 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

Apply for an Ingenuity Award

01: Eligibility Check

02: Contact & Organization Information

03: Project Proposal

04: Acknowledgements