NOMINATION FORM

The purpose of the Awards is to pay tribute to those who have overcome overwhelming challenges. These individuals deserved to be recognized and to celebrate their contributions to our communities. This recognition goes along way to encouraging these individuals to continue their efforts as role models for others.

The deadline to submit Nominations is January 17, 2025

Thank you for choosing to nominate someone who inspires you for a 27th Courage To Come Back Award presented by Wheaton Precious Metals and hosted by Coast Mental Health Foundation. We are so excited to review the hundreds of nominations we receive and celebrate the stories of triumph over adversity.

The Courage To Come Back Awards are given in four categories:

Mental Health: A person who has demonstrated inspirational achievements overcoming the challenges of living with a mental illness, and who has given back to their community.
Addiction: A person who has demonstrated inspirational achievements overcoming the challenges of addiction and who has given back to their community. Sobriety must have been maintained for at least the past five (5) years.
Medical: A person who has demonstrated inspirational achievements overcoming the challenges of a medical condition, either from birth or developed in their lifetime, or following major trauma or injury which has required extensive physical rehabilitation, and who has given back to their community.
Young Adult: A young person, between 19 – 25 years old, who has demonstrated inspirational achievements overcoming mental illness, injury, or addiction and who has given back to their community.

* Before nominating someone, please ask for their permission, and ensure they are ready to do so. Re-sharing a traumatic story and/or life experience can be extremely difficult and, if they aren’t selected, could become another negative experience. It’s important that they are aware of the process before you start.*

Award recipients will be given the opportunity share their story via video, with media and on social media. We follow trauma-informed storytelling practices and do our utmost to avoid harm during the process.

If you need some ideas about what to say or how to say it, check out the stories of Courage’s 2024 Recipients here.

We also have a FAQ section to answer some commonly asked question. If you are in need of additional help, please contact Coast Mental Health Foundation at courage@coastmentalhealth.com or 604-754-0973 or toll-free at 1-877-602-6278.

It is easy to complete the nomination process online. Answer the questions below and then Submit. Or if you want to work on it later, scroll to the bottom to Save and Continue Later. A link will be emailed to you, so that you can return and complete the form. Links will be active for 60 days.

* This online form is secure and your contact information is confidential.

27th Courage To Come Back Nomination Form

The online nomination form for the 27th Courage To Come Back Awards.

SECTION 1: Nominator Information
Nominator Salutation
Nominator First Name*
Nominator Last Name*
Nominator Address*
Nominator City*
Nominator Province*
Nominator Postal Code*
Nominator Phone*
Nominator Alternate Phone
Nominator Email*
Nominator Relationship to Nominee*
In a few sentences, please tell us the top One to Three reasons why you decided to nominate this person for a Courage To Come Back Award and how they have inspired you & the positive impact they have had on others and/or the community?*
How did you hear about The Courage To Come Back Awards?*
SECTION 2: Nominee Information
Award Category*
- Addiction: A person who has demonstrated inspirational achievements overcoming the challenges of addiction and who has given back to his or her community. Sobriety must have been maintained for at least the past five (5) years.
- Medical: A person who has demonstrated inspirational achievements overcoming the challenges of a medical condition, either from birth or developed in their lifetime, or following major trauma or injury which has required extensive physical rehabilitation, and who has given back to his or her community.
- Mental Health: A person who has demonstrated inspirational achievements overcoming the challenges of living with a mental illness, and who has given back to his or her community.
- Young Adult: A young person, between 19 – 25 years old, who has demonstrated inspirational achievements overcoming mental illness, injury or addiction and who has given back to his or her community.
Addiction Category Confirmation*
Please confirm the nominee has maintain a minimum of 5 years of sobriety
Nominee Date of Birth*
MM slash DD slash YYYY

Necessary to process a Youth Award nomination.
What racial or ethnic group best describes the nominee?

Optional
Nominee Salutation
Nominee First Name*
Nominee Last Name*
Nominee Address*
Nominee City*
Nominee Province*
Nominee Postal Code*
Nominee Phone*
Nominee Alternate Phone
Nominee Email*
SECTION 3: Nomination Criteria
Please provide details of how the nominee satisfies each of the four criteria, with specific examples for each.
Criteria 1: The full history and nature of the illness, injury, addiction or adversity. The impact on the nominee’s life. Please be specific and concise. Type response below.*
There is a 600 word maximum (4200 character count including spaces).
Criteria 2: Type of obstacles encountered, degree of difficulty involved in overcoming them. Please be specific and concise. Type response below.*
There is a 600 word maximum (4200 character count including spaces).
Criteria 3: The personal and/or professional goals and achievements the nominee has reached in spite of setbacks, obstacles, adversity or illness. Please be specific and concise. Type response below.*
There is a 600 word maximum (4200 character count including spaces).
Criteria 4: Details of how the nominee has given back to the community (such as mentoring, volunteering, public speaking, fundraising, other good works). Please note that community can also refer to an online or virtual group. Please be specific and concise. Type response below.*
There is a 600 word maximum (4200 character count including spaces).
Hidden
For Nominee to complete: In your own words and in chronological order (if possible), please describe your journey, from your perspective and how it has impacted your life. We encourage you to focus on your 'Come Back' & how you 'Give Back', and what motivates you to do so. Also, feel free to provide more details about any of the aspects already covered in the rest of the nomination, or add anything that is important to you that may have been missed. If relevant and you feel comfortable, please include how your demographic background has impacted your journey.
There is a 600 word maximum (4200 character count including spaces).
SECTION 4: Submitting your nomination checklist
Nomines is British Columbian*
- By checking this box, I confirm that the Nominee lives in the Province of British Columbia. *
Nominee has agreed to be nominated*
- By checking this box, I confirm that the Nominee has agreed to be nominated by me for a Courage To Come Back Award. *
I agree that statements made by me are true*
- By checking this box, I confirm that the statements made by me, the Nominator, regarding this Nominee are true and represent my honest opinions, beliefs and experiences. *
SECTION 5: Letters of support
IMPORTANT: You must ensure that three (3) testimonial letters by others in support of the nomination are submitted:
UPLOAD: Please upload your three (3) letters of support below and in .pdf or .doc files. If you encounter any issues, please email courage@coastmentalhealth.com.
File
Drop files here or

Accepted file types: jpg, pdf, doc, docx, Max. file size: 100 MB, Max. files: 3.
Phone
This field is for validation purposes and should be left unchanged.

Save and Continue Later

When you have completed the information required, click ‘Submit Your Nomination‘ button to complete the online submission portion of your nomination package.

Questions?
If you have any questions, please email courage@coastmentalhealth.com.

Nomination Form

The deadline to submit Nominations is January 17, 2025

27th Courage To Come Back Nomination Form

SECTION 1: Nominator Information

SECTION 2: Nominee Information

SECTION 3: Nomination Criteria

SECTION 4: Submitting your nomination checklist

SECTION 5: Letters of support

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