Suicide Prevention Project Officers are available to assist you with your nomination. If you have any questions or require assistance please call Relationships Australia Tasmania on  1300 364 277 and ask to speak to one of the Suicide Prevention Project Officers or email tspcn@reltas.com.au.  

Completed nomination forms must be received by close of business on 9th March 2022.

1.Which award category are you nominating the nominee for?

TasNetworks Workplace Award

Lifeline Tasmania Communities in Action Award 

Mental Health Council of Tasmania Outstanding Contribution 

SPEAK UP! Stay ChatTY Young Person Award (individual/s aged 30 years or under)

Newport and Wildman Innovative Practice Award recognising innovation or research in the field of suicide prevention

2.What is the nominee's full name?

3.What is the nominee's phone number?

4.What is the nominee's email address?

5.What is the nominee's suburb?

6.Briefly describe (500 words max) the nominee’s contribution to suicide prevention by outlining the following as relevant:

• How the nominee contributes to suicide prevention outside of their employed role 

• Ways in which nominee has raised awareness of mental health and suicide prevention (achievements, activities, demographics reached)

• Ways in which nominee has benefited the Tasmanian community (how has this been demonstrated/measured?)

7.Where did you hear about the LiFE Awards?

Friend

Colleague

Social media

Newspaper

Other (please specify)

8.What is the nominator's name?

9.What is the nominator's phone number?

10.What is the nominator's email address?