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Nomination Form  

The Stroke Foundation is only able to accept nominations from within Australia. We regret that any nominees currently living overseas will not be considered during the judging process.

Please note this nomination is for the 2021 Stroke Foundation and Stroke Society of Australasia Stroke Care Champion Award. Other categories of the Stroke Foundation Stroke Awards will open later this year.

·  Awards are open to previous applicants who have not won.

Previous winners cannot nominate for the Stroke Care Champion Award if they have been awarded it previously.

Finalists will be notified at the end of start of September. The winner will be notified in October.

The Stroke Foundation and Stroke Society of Australasia’s decision is final. Please note award finalists and winners may be featured in Stroke Foundation’s media and publicity activities.

We suggest you prepare your answers in a word document and copy into the nomination form once you are ready.

Feel free to send additional material supporting your nomination to media@strokefoundation.com.au.

We encourage nominations from Aboriginal and Torres Strait Islander people and people from culturally and linguistically diverse communities.

 

 

 


Please complete this section about the person you wish to nominate


















Stroke Care Champion






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