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Carer of the Year Award 2025
Carer of the Year Nomination Form
Closing Date: 7 March 2025, 11:59pm AEDT
Please complete all questions
*
1.
Nominator Details (the person completing this form)
(Required.)
First Name
Surname
Phone/Mobile
Email
How do you know the carer you are nominating?
*
2.
Carer Details (the person you are nominating)
(Required.)
First Name
Surname
Phone/Mobile
Email
Address
State
*
3.
How did you hear about the Carer of the Year award?
(Required.)
Continence Foundation of Australia website
Email from the Continence Foundation of Australia
Social media
Word of mouth
Other (please specify)
*
4.
How long has the person been a carer?
(Required.)
*
5.
What challenges has the carer faced while being a carer?
(Required.)
*
6.
What does the carer do to help maintain the dignity and quality of life for the person being cared for?
(Required.)
7.
Is there anything else you would like to tell us about the carer?
*
8.
I confirm that
(Required.)
The carer provides continence care
The carer has been notified before making the nomination
The carer is happy for their story to be published on continence.org.au and in Bridge Magazine
This submission is true and correct to the best of my knowledge
I understand that the award is allocated at the discretion of the selection panel