WTD 2023 Patient Ambassador of the Year Award

The WTD 2023 Patient Ambassador of the Year Award recognizes an outstanding, passionate member of the thrombosis advocacy community who is dedicated to building awareness about thrombosis in his/her community, region, country, and/or globally.

Nomination Criteria: Eligible candidates for the WTD 2023 Patient Ambassador of the Year Award include a thrombosis advocate, thrombosis patient, thrombosis survivor, community volunteer, and/or a thrombosis-related organization representative. An ideal candidate is also a WTD registered partner. Please note that healthcare professionals and current WTD steering committee members are not eligible to apply. Previous winners are not eligible.

*You can nominate yourself for this award, or you may nominate someone else. Both options are accepted.

Eligibility criteria:

Exemplify a passion and willingness to build awareness about thrombosis in his/her community, region, country, and/or globally.
Demonstrate willingness to achieve the mission of the WTD campaign.
Lead or help support at least one (1) thrombosis awareness activities (either online or in-person) and make a meaningful impact. Examples may include: organizing awareness activities in the local community, hosting a virtual conference, sharing personal story with others, volunteering or working for an advocacy organization, volunteering or working in the healthcare field, sharing thrombosis educational resources, etc.
Motivate others within thrombosis advocacy programs in communities and countries around the world.
Exhibit innovative approaches to raise awareness and/or accomplish advocacy goals.
Comfortable speaking to others about thrombosis awareness and the reason why he/she is dedicated to this cause.

Award Benefits: The WTD 2023 Patient Ambassador of the Year receives the following prize package:

Opportunity to serve on the WTD Steering Committee as a patient representative for a term of up to two (2) years.
Full paid travel stipend to the next ISTH annual congress for one (1) person. Stipend includes roundtrip economy-plus airfare (to be approved by ISTH), up to five (5) nights hotel accommodation, full congress registration and daily meal stipend. Stipend is subject to final approval by the ISTH.
Complimentary WTD prize pack for use at the winner’s next WTD event/activity, including up to 10 WTD awareness T-shirts, 100 WTD lapel pins, and 100 WTD awareness bracelets.
Ceremonial award plaque.
Visibility on the ISTH WTD communication channels.

Are you ready to submit a nomination? Complete the online nomination form below.

Ambassador of the Year Award

World Thrombosis Day 2023 Ambassador of the Year: Nomination Form

Thank you for your interest in the WTD 2023 Ambassador of the Year Award. Eligible candidates for the WTD 2023 Ambassador of the Year Award include a thrombosis advocate, thrombosis patient, thrombosis survivor, community volunteer, and/or a thrombosis-related organization representative. You can nominate yourself or someone you know. Please note that healthcare professionals and current WTD steering committee members are not eligible to apply. If you have questions about the nomination form, please contact Barbara Krolak at wtd@isth.org. Thank you!

Your name(Required)

Your title/role(Required)

Your city and country(Required)

Email(Required)

Name of the person you are nominating(Required)

First Last Suffix

If you are nominating yourself, please include your name again here.

Nominee's country of residence(Required)

Nominee's email address(Required)

Nominee's title and/or role(Required)

About the nominee

Is the nominee a WTD partner or has he/she been involved in WTD in the past?(Required)

Are you nominating yourself or are you nominating someone you know?(Required)

Why do you feel this individual should be recognized as the Ambassador of the Year?(Required)

Please include as much detail as possible.

How has the nominee positively impacted thrombosis awareness in his/her community?(Required)

Has the nominee interacted with local media or other stakeholders? If so, please share.(Required)

Provide examples of how this person has helped to lead an awareness program, campaign or advocacy initiative.(Required)

Please be specific and include examples of activities, events or awareness opportunities the nominee has organized or participated in.

What results were accomplished through this person’s awareness/advocacy efforts? Provide an example of how this person has made additional contributions to the thrombosis awareness community, either through community service/volunteerism, promoting community enhancements for the greater good of the thrombosis community or other positive achievements.(Required)

How does the nominee motivate others to engage in awareness-building efforts?(Required)

Please provide any additional information about the nominee that you would like the selection committee to consider as part of your entry application (optional).

Please upload a photo of the nominee.(Required)

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Max. file size: 50 MB, Max. files: 10.