To nominate an individual, group or school for an Act-Belong-Commit Award please download a nomination form below.
Nomination forms for the 2013 Act-Belong-Commit Awards will be uploaded on Monday 15 July, 2013.
Self-nomination is permitted (If you wish to self-nominate, please leave the nominator section blank)
Entries can be submitted via email to This email address is being protected from spambots. You need JavaScript enabled to view it. or by post to:
Attn: Ms Sarah Graham
Health Promotion Officer
Act-Belong-Commit campaign
Mentally Healthy WA
Curtin University
GPO Box U1987
Perth WA 6845












