Aboriginal and Torres Strait Islander Student Science Award 

Reference 

To be eligible for this award, applicants and referees must be able to show improvement in Science. 

• All applicants are encouraged to submit at least one reference to support the nomination 
• Applicants must include a statement from a supporting teacher (if nominator is not the teacher) 
• Providing school science results and further examples of merit is optional but encouraged. 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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: 

School Name (where Relevant): State: 

Suburb: Postcode: 

Relationship to Nominee: ______________________________________ 








Response 

1. Please describe the improvement and/or increased engagement you have seen from the applicant. 

(e.g. level of engagement in classroom inquiry activities, improvement in science and/or science related 
electives, helps other students, asks questions, initiates inquiries activities independently, 
enthusiasm/performance in science has led to improved performance in other subjects etc.) 

Click here to enter text up to 550 words. 

 

P68TB1#y1

2. (Optional) Please add any other information that may be relevant to this application. 

Click here to enter text up to 550 words. 

 

P69TB2#y1