Patients Advocacy and Survivorship Workshop KICC 2026

Advocacy Sponsorship Application

Hosted by KESHO in partnership with ALAN and CMLAN
Application deadline: September 11^th 2026

Who should apply?

Dedicated blood cancer advocates, patients, survivors and caregivers.

Scholarship support

Conference registration, accommodation and travel support.

SECTION 1: APPLICATION PROFILE

Full Name

Email Address

Phone/ Whatsapp Number

Country

Primary Affiliation / Role

Organisation / Support Group

SECTION 2: EXPERIENCE & MOTIVATION

Current Advocacy Involvement

Motivation & Capacity Building

SECTION 3: COMMITMENT & WORK PLAN
This scholarship is not a one-off event. Recipients are expected to become active participant of ALAN and CMLAN. Please outline your Pre- and Post-Conference commitment below.

Pre-Conference Commitment: Leukemia Awareness Month
As a scholarship recipient, you will be expected to co-create and drive advocacy initiatives during Leukemia Awareness Month leading up to the November conference.

Which activities would you be willing to lead or actively support? Select all that apply.

Organizing local community awareness campaigns / barazas Digital advocacy: social media, webinars or articles Hospital visits or patient-support group engagement Policy advocacy: county health officials or media outreach

Post-Conference Sustainable Impact Work Plan
If selected, how will you use the knowledge gained at KICC 2026 to strengthen ALAN and CMLAN networks and sustain blood cancer advocacy in Kenya? (Maximum 300 words)

Timeline	Planned Activity	Expected Outcome

SECTION 4: FORMAL COMMITMENT & CONSENT

Required Confirmations

I will actively participate in Leukemia Awareness Month activities before the conference. I will attend the full duration of KICC 2026 in November. I will work with ALAN and CMLAN through Henzo Kenya to implement my post-conference work plan. I will submit a brief report within 30 days of the conference outlining my key learnings and next steps

Data Consent

I consent to KESHO, ALAN and CMLAN using my information to assess this application and contact me about the scholarship and related advocacy activities.

Selection note

Submitting an application does not guarantee a scholarship. Applications will be reviewed against eligibility, advocacy experience, motivation, commitment and the feasibility of the proposed work plan.

Advocacy Sponsorship Application

Selection note

Radiotherapy Planning And Contouring Workshop

Registration Fees: Ksh 10,000

Key Learning Modules: