Nomination
Western Sydney University
Community Awards 2016
Return to Yvonne Gatt: y.gatt@westernsydney.edu.au
PURPOSE
The Western Sydney University Community Awards recognise outstanding
contributions of individuals or organisations to the Greater Western Sydney region or
beyond.
NOMINEE DETAILS
NAME:
POSITION: (if applicable)
ORGANISATION: (if applicable)
ADDRESS:
[NUMBER]
[STREET]
[CITY]
EMAIL:
PHONE:
MOBILE:
NOMINATOR DETAILS
NAME:
SCHOOL / UNIT / EXTERNAL ORG:
PHONE:
EMAIL:
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[STATE]
[P/CODE]
SELECTION CRITERIA
Briefly explain the contribution and/or activities in the Greater Western Sydney
region or beyond for which this person or organisation is recognised [200
words maximum]
Note: If successful, this statement will be read out at the Graduation Ceremony
Note:
Your are welcome to include any references, newspaper articles or the like which
provide evidence to support the nomination.
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