WA Mental Health Awards 2026 - Nomination Form

The Mentally Healthy Employee or Volunteer Award recognises an outstanding contribution to mental health in WA by an employee or volunteer within a private, public or not-for-profit organisation.

The successful nominee is a mental health champion in their place of work and can demonstrate how they have supported people with mental health challenges in the workplace.
Submitting a nomination for the Mentally Healthy Employee or Volunteer Award

Nominations for this award are open to any employee or volunteer within any WA workplace. Self-nominations are not accepted for this category.

Please address the following questions in a separate document and upload as an attachment to this form:
  • Please explain how the nominee demonstrates mental health best practice in the workplace or is a mental health champion at their place of work.
  • Demonstrate how the nominee's actions or work have contributed to better mental health outcomes for colleagues and/or the wider WA community.
  • Please provide details of how the nominee shows leadership in the workplace when it comes to mental wellbeing.
  • Please provide details of any specific achievements, innovations or positive changes as a result of the nominee's actions in the workplace.
The written response to the above questions should not exceed 2,500 words, excluding supporting documents or images.

For more tips on submitting a nomination, as well as a full list of nomination conditions, please view the Nomination Guide.

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* 1. Your name (person submitting the nomination)

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* 2. Your organisation or business name (if applicable)

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* 3. Your address

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* 4. Your phone number

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* 6. Nominee's name

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* 7. Nominee's phone number

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* 8. Nominee's email address

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* 9. What is your relationship to the nominee?

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* 10. Please provide some introductory information about the nominee, including their job title, key responsibilities and brief employment history.

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* 11. Why have you chosen to nominate this person for the 2026 Mentally Healthy Employee or Volunteer Award?

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* 12. Name of Referee 1

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* 13. Relationship of referee to nominee?

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* 14. Phone number for Referee 1

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* 16. Name of Referee 2

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* 17. Relationship of referee to nominee?

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* 18. Phone number for Referee 2

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* 20. Please upload your responses to the nomination questions above.

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