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Entry Form for Mission: Possible Challenge


Your mission, should you choose to accept it, is to stop dangerous infections dead in their tracks so no patients can be harmed.

With all your continued efforts to win this mission, we want to recognize YOU and your department!

1) The best entry will receive a scholarship to attend IAHCSMM 2019, one-year membership to IAHCSMM, a one-year subscription to Communique magazine, plus $500 of expense assistance.

2) Two runners-up will receive a scholarship to attend IAHCSMM 2019, one-year membership to IAHCSMM, and a one-year subscription to Communique magazine.

Tell us your about your successful mission!

 Entries accepted from residents of the U.S. (See entry rules here.)

Your Mission: Possible entry, should you choose to accept the challenge, must be submitted by 11:59 p.m. on October 11, 2018.

1) To enter, fill out the form with all required details and provide between no fewer than 200 words and no more than 500 words describing how you thwarted dangerous infections attempting to compromise patient safety in your SPD. Note: Entries must be between 200 and 500 words.

2) Optional: Send images, PDF documents, or video to be considered in evaluating your claim. Only three uploads per entry will be accepted. Individuals may enter the challenge only once.

The results will be announced in our NewSplash release on October 16, 2018.

The chosen individuals will be awarded a scholarship to the IAHCSMM Annual Conference & Expo 2019 in Anaheim, California.

See Rules

Enter contact information below.

All fields in this form must be filled in with the exception of uploads.

Address

What was your MISSION?

Enter your reasons below. You may also submit photos, video, and documents to support your candidacy (optional).
Please submit between 200 to 500 words explaining why your department's MISSION is a success in keeping patients safe. Note: Entries must be between 200 and 500 words.

Upload up to three files to support your MISSION dossier (optional).

FACILITY NAME MUST APPEAR IN THE FILE NAME!

File types permitted: .JPG, .MP4, .MOV, .PDF

FACILITY NAME MUST APPEAR IN THE FILE NAME!