Sydney Innovation

The Pitch Application Form

Please complete the below application to register your innovative idea to The Pitch.

The Pitch Review Committee will use the information provided to shortlist applications using the Pitch Screening Tool. Clear, concise, and succinct applications will be considered.

Word limit provided as a guide. If you encounter any issues with the online form,
please contact the SLHD Redesign Team via SLHD-Innovation@health.nsw.gov.au
or submit this form directly to SLHD-Innovation@health.nsw.gov.au.
Submission via email will assume you have read and agree to the Terms and Conditions.

* Required fields.

Section 1: Innovation Description

Innovation/Project title: *

Case for Change: *

Response is required

Measurable Outcomes: *

Response is required

Stakeholder Involvement: *

Response is required

Timeframe and budget: *

Response is required

Sponsorship: *

Response is required

Has the innovation been discussed with the above mentioned nominated sponsor/s? If yes, please tick this box
If no, please consider discussing your innovation with the sponsors before submitting your application.

Sustainability and Transferability: *

Response is required

Please attached any additional files
you feel would be helpful to your application:

Multiple (3) file upload is allowed.
Please make sure that your attached filenames
do NOT include any special characters (! + ( ) , * : etc.)

Section 2: Your Contact Details

Full Name: *

Position: *

Department: *

Phone: *

Email: *

If you would like assistance with completing this form, please contact the SLHD Redesign Team via email
SLHD-Innovation@health.nsw.gov.au

I have read and understand The Pitch Terms and Conditions

Note: Please indicate that you have read and agree to The Pitch Terms and Conditions.

Required!

Warning. See details above for changes required before form can be submitted...

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