Aboriginal and Torres Strait Islander STEM Professional Reference To be eligible for this award, at least two references must be obtained. • Each referee will discuss how the applicant meets the selection criteria. • More than two references are allowed, however two are a minimum requirement. • One reference must be from an Aboriginal and/or Torres Strait Islander person. • Additional evidence to further merit the application can also be shared in additional box at the end of this document INDIGENOUS STEM AWARDS Reference Privacy Statement Use of personal and sensitive information provided by the referee Your personal information is protected by the Privacy Act 1988 (Cth) and CSIRO will handle your personal information in accordance with this Act. CSIRO is collecting your personal information, including your name, contact details and any responses to questions you provide as a referee of an applicant for the Indigenous STEM Awards. CSIRO will also collect your personal and sensitive information from your profile photo, any video responses and school report/results for this purpose. CSIRO will treat all personal information collected as part of your support for the applicant in accordance with CSIRO Privacy Policy, and use it specifically in relation to the Indigenous STEM Awards program. The CSIRO Privacy Policy available at https://www.csiro.au/en/About/Access-to- information/Privacy outlines how your personal information will be handled, including details about how you can seek access or correction of the personal information we hold about you and how you can complain about a breach of the APPs and how CSIRO will deal with the complaint. If you require further information on how your personal information will be handled, please contact privacy@csiro.au. Do you consent to the collection and use of your personal information as set out in this privacy statement? Yes No Referee Details First Name: Last Name: Contact Phone: Email: Relationship to the Applicant: Do you identify as an Aboriginal and/or Torres Strait Islander person? Yes ☐ No ☐ Response 1. Please describe how the applicant has contributed to STEM initiatives, programs and/or research areas and/or is a suitable and inspirational role model for Aboriginal and Torres Strait Islander students. (e.g. Incorporated Indigenous knowledge into their research, engaged the wider public, relatable to a younger generation, has overcome significant adversity, etc.) Click here to enter text up to 550 word. P70L2TB2#y1 2. (Optional) Please add any other information that may be relevant to this application. Click here to enter text up to 550 word. P71TB1#y1