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Heart of Gold Awards

Nomination Form 

The Victor Chang Cardiac Research Institute's Heart of Gold Awards honour courageous Australians who have made an effort to save the life of someone having a heart attack or cardiac arrest. The awards aim to raise awareness of heart disease as well as the importance of CPR. If you know an everyday Australian who deserves to be recognised for a Heart of Gold Award, please complete the form below. If you'd like to nominate more than one person for a Victor Chang Heart of Gold Award, please include their full name and contact details in the 'Additional Comments' box below. 

Nominee Details

Nominee Name
Nominee Address

In as much detail as possible, please provide a description of the incident.

Do you have any photos or videos before, during or after the incident? If so, please attach files below.


Your Details

Your Name
Your Address
Acknowledgement of Country

The Victor Chang Cardiac Research Institute acknowledges the traditional custodians of the land, the Gadigal of the Eora nation, on which we meet, work, and discover.
Our Western Australian laboratories pay their respect to the Whadjuk Noongar who remain as the spiritual and cultural custodians of their land.

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