APSAD Clinician Award

  • APSAD Clinician Award Nomination Form

    The Clinician Award recognises excellence and leadership in clinical practice, in the field of substance use in any discipline.

  • 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.

  • Eligibility

    Any individual in a substantiative (50% or more) position providing direct delivery of clinical services or operating in a strategic managerial position directly relating to service provision.

    Selection Criteria

    Evidence of significant positive impact on outcomes for consumers and/or service provision in the sector. Nominees will need to show the extent of the impact of their work and how it has made a substantial and practical contribution to the service or sector. Information can include (but is not limited to): publications if applicable, evaluations, recognition from other groups and endorsements, list of initiatives and actions you have taken and the impact they have had.

  • NOMINATOR'S DETAILS

    Details and contact information for the person who is nominating
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  • NOMINEE'S DETAILS

    Details and contact information for the person being nominated for this Award
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  • Qualifications

    Include qualifications for the person being nominated, including year obtained and where.

  • Qualification * . Year * Where     .

  • Qualification . Year Where     .

  • Qualification . Year Where     .

  • Qualification . Year Where     .

  • SELECTION CRITERIA

    Applicants must provide evidence of a positive impact on outcomes for people with lived or living experience and/or service provision in alcohol, tobacco, and other drugs.

  • Upload the nominator's supporting statement and the nominee's contribution summary below, make sure you stick to the allocated word limits.

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  • SUPPORTING DOCUMENTATION

    Upload your supporting documentation. Nominee’s CV; 3-5 prominent publications and/or examples involving program development & implementation that improve services for alcohol, tobacoo, and other drugs treatment clients. Show the extent of the impact and how it has made a substantial and practical contribution to the service or sector. (i.e., publications, evaluations, recognition from other groups and endorsements, list of initiatives & actions taken and their impact).
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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.
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