Palliative Care Award

We are very glad to invite Doctors, Nurses , Volunteers and COVID-19 Hero to participate in our upcoming “Palliative Care Award 2020” which organized by Aastha Foundation in association with Hospice Bangladesh.

In this year we would like to recognize 10(ten) nurses, 4(four) doctors, 2 (two) volunteers and 2 (Two) COVID-19 Hero for their outstanding practice at Palliative Care.

Each nomination will be reviewed by our experienced Palliative Care Judges Committee. Finalists for the awards will be selected for exemplifying the behaviors associated with our five values: spirituality, advocacy, knowledge, compassionate care and collaboration.

Therefore, our humble request is to submit application from your institution for specific category and make this award event a grand success.

Award Categories:

Palliative Care Institutional Nurse Award- 5(Five) will be awarded.

(Eligibility: Graduation from Nursing Institute and at least 1-year experience in Palliative care)

Palliative Home Care Nurse Award-5(Five) will be awarded.

(Eligibility: Graduation from Nursing Institute/ Certificate Course in Palliative Care from Palliative Care Organization + at least 1-year experience in Palliative Home Care)

Palliative Care Doctor Award-4(Four) Doctor will be awarded.

(Eligibility: MBBS degree Certificate, Certificate Course in Palliative Care and at least 6-months experience in Palliative care)

Palliative Care Volunteer Award-2(Two) will be awarded.

(Eligibility: At least 1-year experience in Palliative care)

Palliative Care COVID-19 Hero- 2(Two) will be awarded.

(Eligibility: Significant involvement for supporting Patients in COVID-19 pandemic, submission of supporting documents will be preferable)

**Note: Previous Awardees are not eligible to apply.

Documents submitted with application form

Application
Full biodata
Recent One copy passport size photo
Certificates’ copy (Nursing Council/ Nursing Institute/BNC Reg./BMDC Reg. & Palliative Care Certificate)
A recommendation letters from Departmental Head or Director of Institution/Organization
Supporting documents regarding role in COVID-19 pandemic (preferable not compulsory)

Last date of Submission 10^th December, 2020

PALLIATIVE CARE AWARD APPLICATION

Palliative Care Nurse

Palliative Care Nurse Award Application

Educational Qualification (শিক্ষাগত যোগ্যতা):

(Chronological order; start with last degree)

Examination/Degree(ডিগ্রী)

Institution/Board(প্রতিষ্ঠান/বোর্ড)

Year(সাল)

Duration of Experience in Health care and Palliative care (হেলথ কেয়ার এবং প্যালিয়েটিভ কেয়ারে অভিজ্ঞতার সময়কাল) *

Write down briefly about experience in Palliative Care: (Include how many palliative care patients you visit weekly/monthly) (সংক্ষেপে প্যালিয়েটিভ কেয়ারে নিজের অভিজ্ঞতা বর্ণনা করুন) *

How this award will directly influence palliative care in your workplace? (এই অ্যাওয়ার্ড অর্জন আপনার কর্মক্ষেত্রে প্যালিয়েটিভ সেবাকে কিভাবে প্রভাবিত করবে বলে মনে করেন) *

Where do you want to see your career developing in the next three year? (আপনি আগামী তিন বছরে নিজের ক্যারিয়ারকে কোন্ পর্যায়ে দেখতে চান?) *

Please write a short summary of your work in your organization (আপনার প্রতিষ্ঠানে আপনার কাজের সংক্ষিপ্ত বর্ণনা লিখুন) *

Please write your working experience during this COVID-19 Pandemic time (কোভিড-১৯ মহামারীর সময়ে আপনার কাজ করার অভিজ্ঞতা সম্পর্কে লিখুন)

Document Upload

Choose File

Thank you for your application. It has been sent.

There was an error trying to send your application. Please try again later.

Palliative Care Doctor

Palliative Care Doctor Award Application

Educational Qualification (শিক্ষাগত যোগ্যতা):

(Chronological order; start with last degree)

Examination/Degree(ডিগ্রী)

Institution/Board(প্রতিষ্ঠান/বোর্ড)

Year(সাল)

Upload Document

Choose File

Thank you for your application. It has been sent.

There was an error trying to send your application. Please try again later.

Volunteer

Palliative Care Volunteer Award Application

Please write a short summary of nominee's voluntary work in palliative care (প্যালিয়েটিভ সেবার একজন স্বেচ্ছাসেবক হিসেবে কাজের সংক্ষিপ্ত বর্ণনা লিখুন) (Include how many palliative care patients you visit weekly/monthly) *

How this award will directly influence palliative care in your workplace? (এই অ্যাওয়ার্ড অর্জন তার কর্মক্ষেত্রে প্যালিয়েটিভ সেবাকে কিভাবে প্রভাবিত করবে বলে মনে করেন) *

Upload Document

Choose File

Thank you for your application. It has been sent.

There was an error trying to send your application. Please try again later.

Covid-19 Hero

Covid-19 Hero Award Application

Educational Qualification (শিক্ষাগত যোগ্যতা): (only last degree, If applicable) *

If you are working in health sector, specify your working area and briefly describe your job responsibility (যদি আপনি স্বাস্থ্যসেবায় নিযুক্ত হন, তবে কাজের ক্ষেত্র উল্লেখ করুন এবং সংক্ষেপে কাজের বর্ণনা লিখুন): *

Are you involved in palliative care? Please write something about it( আপনি কি প্যালিয়েটিভ সেবার সাথে যুক্ত আছেন, যুক্ত থাকলে এ সম্পর্কে সংক্ষেপে লিখুন): *

Please write your involvement in COVID-19 Pandemic (কোভিড-১৯ মহামারীতে আপনার ভূমিকা/অবদান সম্পর্কে লিখুন) *

What type of challenges you have faced to work in COVID-19 pandemic and how to overcome it? (কোভিড-১৯ মহামারীতে কাজ করতে গিয়ে আপনি কি কি ধরনের সমস্যা/বাধার মুখোমুখি হয়েছেন এবং কিভাবে সেগুলোর সমাধান করেছেন?) *

Had you affected by Corona Virus during your support, if yes write your experience(কোভিড-১৯ মহামারীতে কাজ করতে গিয়ে আপনি কি করোনা ভাইরাসে আক্রান্ত হয়েছেন, হয়ে থাকলে এ অভিজ্ঞতা সম্পর্কে সংক্ষেপে লিখুন): *

What makes you motivated to work in COVID-19 pandemic? (কোন বিষয়টি আপনাকে কোভিড-১৯ মহামারীতে কাজ করতে অনুপ্রাণিত করেছে) *

Why do you think that you deserve this award? (আপনি নিজেকে কেন এই অ্যাওয়ার্ডের একজন দাবিদার মনে করছেন) *

Upload Document

Choose File

Thank you for your application. It has been sent.

There was an error trying to send your application. Please try again later.