APSAD First Peoples Award Nomination Form

APSAD First Peoples Award Nomination Form

The First Peoples Award recognises an individual that has made an important contribution to the advancement of the health of Aboriginal, Torres Strait Islander, Māori and Pacifika peoples.
First Nations professionals are encouraged to nominate in the other categories; Senior Scientist, Early-Career, Mid-Career, Mentor, Clinician, Lived and Living Experience, and Advocacy Awards

Eligibility

You must identify as a member of a First Nation of Australia or Aotearoa New Zealand (Aboriginal, Torres Strait Islander, Māori, and Pacifika) and work in: research, training, practice, prevention, or policy in any area related to substance use at any stage of your career.

Selection Criteria

Evidence of significant contribution to research, training, practice, prevention, or policy in any aspect of substance use. 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. In rating the nominee, the extent to which the practical suggestions, treatment and policies have been taken up in the field will be considered.

For example:
- Research: Contribution to alcohol and other drugs research, demonstrated by the range and quality of evidence-based research outputs; broader dissemination and/or implementation strategies to scientific as well as broader audiences (i.e., general public, clinicians, policymakers, other stakeholders.
- Policy: a central role in the development of important policy that has been taken up at a local, state, national or international level, or leadership in the form of management practices and implementation of evidence-based practices.
- Training: a substantial program of training and workforce development using evidence-based strategies that have had a demonstrated impact on responses to Indigenous health.
- Prevention and Treatment: the development and/or implementation of evidence-based practices to prevent drug use, prevent harms or treat the consequences of drug use.

NOMINATOR'S DETAILS

Details and contact information for the person who is nominating
Name*

PrefixFirst NameLast NameSuffix
Organisation*
Include the organisation of the nominator
Current Position*
What position does the nominator hold
Email*
Nominator's email address
Phone Number*

Country CodeArea Code (0 for mobile)Phone Number
Confirmation the Nominator is a current APSAD member*

Yes, I confirm my membership is current
NOMINEE'S DETAILS

Details and contact information for the person being nominated for this Award
Name*

PrefixFirst NameLast NameSuffix
Organisation*
Include the organisation of the nominee
Current Position*
What position does the nominee hold
Email*
Nominee's email address
Mobile Number*
Please enter the nominee's mobile number.
Qualifications

Include qualifications for the person being nominated, including year obtained and where.
Qualification Qualification* . Year Year qualification was obtained* Where Institution qualification was obtained .
Qualification Qualification . Year Year qualification was obtained Where Institution qualification was obtained .
Qualification Qualification . Year Year qualification was obtained Where Institution qualification was obtained .
Qualification Qualification . Year Year qualification was obtained Where Institution qualification was obtained .

SELECTION CRITERIA

Applicants must provide evidence of a significant contribution to a given discipline related to alcohol 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.

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

Indicate the Nominee's significant contribution to a given discipline related to alcohol, tobacco, and other drugs - 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. Nominee’s CV; Research: 3-5 prominent publications showing contribution to ATOD research, range and quality of evidence-based research outputs; broader dissemination and/or implementation strategies to scientific as well as broader audiences (i.e., general public, clinicians, policymakers, other stakeholders). Policy: Central role in the development of important policy, or leadership in the form of management practices & implementation of evidence based practices. Training: Substantial program of training & workforce development, that have had a demonstrated impact.
Supporting Documentation Upload*

Upload your supporting documentation
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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*

A brief statement indicating why you support the nomineeNominee's contribution summaryUploaded the nominee's CVSupporting documentation has been uploaded

DECLARATION

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

To confirm your support for this nomination, you can;
- sign this form, or
- send an email confirming your nomination to awards@apsad.org.au
Nominator: As an APSAD member I submit this nomination for the APSAD First Peoples Award.

Clear
Confirmation from the nominator
NOMINEE'S CONFIRMATION*

I agree to be nominated for consideration for the APSAD First Peoples Award and confirm should I be successful will be attending the APSAD 2025 Gadigal (Sydney) to receive the Award.
Nominee's Signature

Clear
confirmation from the nominee
Should be Empty:

APSAD First Peoples Award Nomination Form

First Nations professionals are encouraged to nominate in the other categories; Senior Scientist, Early-Career, Mid-Career, Mentor, Clinician, Lived and Living Experience, and Advocacy Awards

Eligibility

Selection Criteria

NOMINATOR'S DETAILS

NOMINEE'S DETAILS

Qualifications

SELECTION CRITERIA

SUPPORTING DOCUMENTATION

DECLARATION