APSAD Mentor Award Nomination Form

  • APSAD Mentor Award Nomination Form

    The Mentor Award recognises an individual who has made an important contribution to mentoring and supporting the career development of clinicians, researchers, or students.

  • 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 uploaded to the online form.

    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 form.

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

  • Eligibility

    Any individual with a track record of mentoring and supporting the career development of alcohol, tobacco and/or other drugs: clinicians, researchers and/or students.

    Selection Criteria

    Ability to demonstrate energy, passion and commitment for mentoring and demonstrate integration of your mentees into the wider alcohol, tobacco, and other drugs field and/or related fields (outside your own organisation), and/or provide evidence of how you have implemented and supported programs and policies for the broader development of mentoring across your organisation and/or discipline.

  • NOMINATOR'S DETAILS

    Details and contact information for the person who is nominating
  • Format: 0000 000 000.

  • NOMINEE'S DETAILS

    Details and contact information for the person being nominated for this Award
  • Format: 0000 000 000.

  • 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 an important contribution and support on career development for mentees.

  • 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 testimonials and/or case examples, copy of relevant webpage promoting the program or outline of the course, workforce development/organisational learning initiatives designed to advance clinician expertise & good practice on the ground.
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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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