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.
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
Name*

Title (e.g. Ms, Mx, Mr, Prof)First NameMiddle NameLast Name
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*

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
Email*
nominee's email address
Mobile Number*
nominee's mobile number.
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.
Cancelof
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.
Cancelof

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.
Cancelof
Use the checks boxes below to ensure you have completed the form and uploaded all required information before submitting the form*

A brief statement from the nominator 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 Lived and Living Experience Award.

Clear
Confirmation from the nominator
NOMINEE'S CONFIRMATION*

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

Clear
confirmation from the nominee
Should be Empty:

APSAD Lived and Living Experience Award Nomination Form

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