Wellness & Inclusion award are for those who have selflessly put their hearts and souls into contributing to inclusion and mental health throughout the community.

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

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* 2. I would like to nominate

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* 3. Who are they? Please give a brief background of the individual, and their position within the business/organisation or community (Max of 250 words)

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* 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)

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

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

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* 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.

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* 8. Upload photos to support your nomination.

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

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

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

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

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