Nomination Community Fellows 2020

The Western Sydney University Community Fellowship recognises outstanding contributions of individuals to the Western Sydney region.

Fields with '*' are required as mandatory fields and must be filled in. 

Nominator Details

Nominee Details

Selection Criteria

[200 words maximum] Note: If successful, this statement will be read out at the Graduation Ceremony

(less than 3 pages)
To the best of your knowledge, has the nominee been convicted of an indictable offence in Australia or an equivalent offence in any other jurisdiction?
I declare that the information i have entered is true and correct at the time of submission.

If you have trouble using this form please contact