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Mental Health Pilot Nomination Form

We believe in the power of storytelling to inspire change, foster understanding, and provide hope. If you or someone you know is struggling with mental health issues and would like to share your story, please fill out the form below. Candidates must be local to Toronto, Canada. Your experience could help others feel less alone and encourage them to seek the support they need. We appreciate your courage and willingness to be a part of this important project. 

Nominee Information

Nominator Information (if different from nominee)

Mental Health Background

Story Details

Media and Availability

Additional Information

Please  attach a recent photo of the nominee:

Introduction Video

Please submit a 2-minute video introducing yourself (or the nominee if nominating someone else). In the video, briefly describe your (or the nominee's) mental health journey and why you believe sharing this story on our show is important.

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