`
Close

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 Details

Your Details

Your Details