APSAD Lived & Living Experience Award Nomination Form

APSAD Lived and Living Experience Award Nomination Form

The Lived and Living Experience Award recognises an individual that has made an important contribution to clinical practice, research, training, prevention, or policy in their role as someone with lived experience working or volunteering in the area of substance use or harm reduction services.
Nomination Submission Guidelines

Pre-Submission Requirements
- Documentation: The nominator must possess the nominee's contact details and a summary of their contributions prior to accessing the form.
- Membership Status: The nominator must hold current APSAD membership.
- Statement Preparation: Both the Nominator Supporting Statement and the Nominee Contribution Summary must be drafted externally before being entered into the online system.
Submission Process
1. Complete the Form: Fill in all mandatory fields in the online nomination form.
2. Upload Documents: Attach all required supporting documents.
3. Initiate Verification: Complete the declaration section. The system will automatically email the outstanding signer (either the nominator or nominee) to verify and sign the form.
  1. Important: Ensure the contact details provided for the pending signer are accurate and current, as the verification email will be sent directly to them.
4. Final Submission: Once the verification is complete, the form will be automatically submitted.
5. Confirmation: You will receive an immediate email confirmation containing a copy of your submission details.
Format Warning A PDF template is available for review purposes. Nominations submitted via PDF will not be reviewed. All entries must be finalised through the official online portal.

Closing date for nominations in all award categories is 11.59pm (AEST) Monday 20 July 2026.

Those with lived and living experience are encouraged to nominate in the other award categories; Senior Scientist, Early-Career, Mid-Career, Mentor, Clinician, First Nations, and Advocacy

Eligibility

Any individual who is employed or volunteering in an identified lived or living experience role within in the alcohol and other drugs sector is eligible to apply. Individuals must be drawing on their lived and/or living experience of alcohol and/or other drug use in the service of others. Five or more years of lived or living experience is preferred, but applicants with less experience may still be considered.

Selection Criteria

Evidence of significant contribution to practice, research, training, prevention, or policy in any aspect of substance use working (or volunteering) in a recognised lived or living experience role. Nominees need to show the extent of the impact of their work and how it has made a substantial and practical contribution to one of these areas. The nomination should clearly describe the achievements to be honoured, the scope and depth of impact, including evidence of significant positive impact on outcomes for consumers and/or service provision in the alcohol and other drugs sector.

Examples:
- Demonstrating improvements in policy, practice, research, or workforce
- Advocating for the rights of people who use alcohol and other drugs
- Increasing access and retention to AOD and harm reduction services

NOMINATOR'S DETAILS

Details and contact information for the person who is nominating
Nominator's Name

Title (e.g. Ms, Mx, Mr, Prof)First NameLast Name
Organisation
Include the organisation of the nominator
Current Position
What position does the nominator hold
Nominator's Email
nominator's email address
Phone Number
Nominator's mobile number.Format: 0000 000 000.
Confirmation the Nominator is a current APSAD member
NOMINEE'S DETAILS

Details and contact information for the person being nominated for this Award
Nominee's Name

Title (e.g. Ms, Mx, Mr, Prof)First NameLast Name
Organisation
Include the organisation of the nominee
Current Position
What position does the nominee hold
Nominee's Email
nominee's email address
Mobile Number
nominee's mobile number.Format: 0000 000 000.
Qualifications

Include any qualifications for the person being nominated, including year obtained and where.
Lived Experience Qualification
Applicants may have alternative qualifications to more formal education. Provide a brief summary of your lived and living experience qualifications.
Qualification Qualification . Year Year qualification was obtained Where Institution qualification was obtained .

SELECTION CRITERIA

Applicants must provide evidence of the impact of their work or how their work has contributed significantly to clinical practice, research, training, prevention, or policy.
Upload the nominator's supporting statement and the nominee's contribution summary below, make sure you stick to the allocated word limits.

We will accept short videos or audio files, please keep these to under five minutes.
NOMINATOR

Indicate the Nominee's impact of their work or how their work has contributed significantly to clinical practice, research, training, prevention, or policy - max 500 words.
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NOMINEE'S CONTRIBUTION SUMMARY

Provide a brief summary - no more than 2,000 words - outlining your contribution as per the selection criteria to the alcohol, tobacco and other drugs field.
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SUPPORTING DOCUMENTATION

Upload your supporting documentation. Please provide any supporting documentation that you believe is relevant e.g. other awards/acknowledgments, education programs, research papers or other documents, policy documents, testimonials, letters of support.
Supporting Documentation Upload

Upload your supporting documentation. Provide any supporting documentation that you believe is relevant e.g. other awards/acknowledgments, education programs, research papers or other documents, policy documents, testimonials, letters of support.
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Use the checks boxes below to ensure you have completed the form and uploaded all required information before submitting the form

DECLARATION

Both Nominator and Nominee are required to confirm the information provided in this form is accurate and true.
NOMINATOR'S DECLARATION:
Nominator's Signature:

Confirmation from the nominator
NOMINEE'S CONFIRMATION
Nominee's Signature

Confirmation from the nominee
Should be Empty:

APSAD Lived and Living Experience Award Nomination Form

Nomination Submission Guidelines

Pre-Submission Requirements

Submission Process

Those with lived and living experience are encouraged to nominate in the other award categories; Senior Scientist, Early-Career, Mid-Career, Mentor, Clinician, First Nations, and Advocacy

Eligibility

Selection Criteria

NOMINATOR'S DETAILS

NOMINEE'S DETAILS

Qualifications

SELECTION CRITERIA

SUPPORTING DOCUMENTATION

DECLARATION