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I have permission from the nominee to submit an entry on their behalf

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Nominee Name:

Self-nominated

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Contact

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Award Category

—Please choose an option—Outstanding individual contributionOutstanding team effortOutstanding co-designEmerging Star Award for early career professional/researcher (less than 5 years experience in the field)Research impact awardOutstanding partnership and collaboration

Relevant background 150 words (max)

Participation 300 words (max)

Impact 300 words (max)

Supporting Materials

Supporting material to support the submission

Upload supporting documentation such as publications, articles, promotional material etc. If you would like to submit multiple documents, please email them to enquiries@equallywell.org.au and reference the nominee's name.

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