Let’s Keep Talking Awards

Nomination Form

The Let’s Keep Talking Awards recognize individuals who embody the Foundation’s vision of Nova Scotians with mental illness or addiction thriving in their community and sharing their stories to inspire others.

Award recipients can be any age, from any community within Nova Scotia and have any connection to mental illness and addiction – lived experience, caregiving experience or healthcare experience.

Name of Nominee

First Name

Last Name

Nominee's Email Address

Nominee's Phone Number

(###)

###

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Does this person know you're nominating them?

Yes

No

What is the nominee's connection to mental health?

Tell us a little about the person you are nominating.

(1000 words max)

What can you tell us about this person's particular connection to mental illness or addiction? (With their consent, share the challenges they face and how they overcome these challenges to live their best life.)

(1000 words max)

How does this person inspire others? (How do they change the way people think?)

(1000 words max)

Why do you believe this person deserves recognition?

(1000 words max)

Your Name

First Name

Last Name

Your Email Address

Your Phone Number

(###)

###

####

PLEASE NOTE: If you have any further supporting documents you’d like to include with your nomination, please send them in an email attachment to kate.udle@nshealth.ca with the subject line: “LKT Awards Supporting Documents - (Nominee’s Name)”

Let’s Keep Talking Awards

Nomination Form

Looking for mental health resources? Click here to find support.

MENTAL HEALTH FOUNDATION OF NOVA SCOTIA