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The Blackmores Mercie Whellan Women+Wellbeing Awards 2018 celebrate acts of courage and determination by women in the Northern Sydney region who have made an outstanding contribution to the local community by improving the health and wellbeing of others. Please use this online form to nominate the amazing women in your life. You can nominate more than one person, but please fill out a new form for each individual. Nominations will be accepted until Wednesday 21 February at 5pm.

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* 1. Please indicate if the woman being nominated for an award is:

A resident of the Northern Sydney region (includes the councils of the Northern Beaches, Ku-ring-gai, Willoughby, Mosman, North Sydney, Lane Cove, Ryde and Hornsby).

Works with communities in the Northern Sydney region (includes the councils of the Northern Beaches, Ku-ring-gai, Willoughby, Mosman, North Sydney, Lane Cove, Ryde and Hornsby).

None of the above - if so, unfortunately your nominee does not meet the selection criteria for these awards

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* 2. Are you nominating someone you know or nominating yourself?

Nominating someone I know

Nominating myself

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* 3. Who are you nominating?

Name

Organisation (if applicable)

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* 4. Which award category are you nominating the person for? (Note you may nominate the person for more than one category, but a new form must be filled out for each category)

StrongBeing: Acts of courage and determination by everyday women who have survived and prospered through adversity.

CommunityBeing: Caregivers who work tirelessly for others including carers, health and community care professionals.

ChangeBeing: Celebrating bold acts of leadership, advocacy and/or education to help girls and women realise their ambitions and potential to help themselves and others.

YoungBeing: Celebrating the achievements of young women aged 15-22 who have achieved extraordinary social change in their community through passion, commitment and vision.

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* 5. Please provide a summary of the person's achievements and contribution (250-500 words)

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* 6. Please provide your contact details

Name

Organisation (if applicable)

Address

Suburb

State

Postcode

Email Address

Mobile

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* 7. If self-nominating, please provide the contact details of someone who can confirm your achievements outlined in question 4

Name

Organisation

Address

Address 2

Suburb

State

Postcode

Email Address

Mobile

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* 8. * Finalists will be invited to an awards ceremony on Thursday 8th March from 6pm to 9.30 pm in Sydney CBD. For terms and conditions of the Blackmores Mercie Whellan Women+Wellbeing Awards, please click here.
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