Expression of Intent to Participate

Thank you for your interest in the QualTech® Prize - Healthcare, an initiative recognizing team excellence in process improvement within the healthcare sector.

Please complete this form to express your institution’s intent to participate.

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Institution Name Required

Institution Address

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Address Line 2

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Country

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Your First Name Required

Your Last Name Required

Your role at your institution Required

Your Mobile No. Required

Your Email ID Required

Director's Name Required

Submitting this form does not constitute formal registration but helps us understand your interest and keeps you informed about the next steps.