The Community Champions are any team, group or organisation who've made a positive difference to the community!

Question Title

* 1. My contact details (optional - if you want your nomination to be known to nominee)

Question Title

* 2. I would like to nominate

Question Title

* 3. Who are they? Please give us a brief background of the group, and how they fit into their community (Max of 250 words)

Question Title

* 4. What makes them great? Tell us why you want to nominate them for an award and exactly how they’ve made a positive difference in the community! (Max 250 words)

Question Title

* 5. What have they battled? What are some of the difficulties or obstacles that they have come up against? Why do think they deserve to win? (Max 250 words)

Question Title

* 6. Optional: Anything else you would like to tell us about their awesomeness? (Max 250 words)

Question Title

* 7. Do you have a short message for your nominee (10-15 words)? It will be posted on our wall of gold stars with other messages.

Question Title

* 8. Upload photos to support your nomination.

AND/OR email a video to leic@australianmedicalplacements.com.au to support your nomination.

PDF, PNG, JPG, JPEG, GIF file types only.
Choose File
Thank you for completing The HELP nomination form. You can nominate again.

Get all the HELP Awards info on https://www.thehelpawards.com.au/

If you have questions, please email giveback@thehelpawards.com.au or call 8333 5666.

T