Her actions during the bombing and the immediate aftermath resulted in her being awarded the Military Medal making her one of only seven nurses to received the Military Medal during the war. Of the other six to receive this medal three of them were her colleagues at the 2nd CCS, there were Sisters Dorothy Cawood and Clare Deacon and Staff Nurse Mary Derrer. All four awards were published in the London Gazette on the 25th September 1917 and presentation of the medal was made by General William Birdwood, General Officer Commanding ANZAC Corps.
Alice returned to the 1st AGH in November 1917 and remained with the hospital until the end of the war, in May 1918 she was made an Associate of the Royal Red Cross had was mentioned in despatches the first 1st AGH moved to England in January 1919 then returned to Australia the same month in September 1919 she was discharged from the AANS.
During the war Alice met and became engaged to Harry Moffitt and officer in the 53rd battalion AIF but he was killed during the battle of Fromelles in July 1916. During the voyage home to Australia in 1919 Alice met Dr Sydney Appleford and they married in August 1919 they had four children.
Between the wars Alice Appleford became involved in the training of Voluntary Aid Detachment (VAD) personal in Victoria, when the Second World War broke out Alice enlisted into the VAD and in 1942 when the Australian Army Medical Women's Service (AAMWS) was formed she was commissioned with the rang of major and appointed senior assistant controller for Victoria responsible for all AAMWS in the state of Victoria.
She continued to serve in the AAMWS until 1951, during her service she was nominated for the Florence Nightingale Medal and was one of two Australian nurses to receive the medal in 1949. The citation for the medal concluded:
No one who came into contact with Major Appleford could fail to recognise her as a leader of women. Her sense of duty, her sterling solidarity of character, her humanity, sincerity, and kindliness of heart set for others a very high example.
After Dr Appleford died in 1958 Alice spent her final years in Cronulla before her death on the 17 August 1968.