HEAD OF THE
ALBURY-WODONGA CAMPUS
Po Box 789
Albury NSW 2640
Tel: +61 2 6051 9806
Fax: +61 2 6051 9719
www.csu.edu.au
ABN:83 878 708 551
DAVID BATTERSBY AWARDS
for Student Citizenship
Professor David Battersby was the Head of the Albury Wodonga Campus from 2000 to December 2003. Professor Battersby was also the
Deputy Vice-Chancellor of CSU until he became Vice Chancellor at the University of Ballarat in 2006.
Nomination form
Name:
Male/Female (please circle)
Contact details:
Course of study:
Criteria
Briefly address the applicable criteria providing specific examples of how the nominee has
initiated and/or participated in events or activities (attach additional pages if needed). It is
important to describe the outcomes associated with these activities.
Service to the student body of CSU
Service to the local community
Leadership in the CSU student community
Leadership in the local community
Acting as an ambassador for CSU to the local, national or international community
Active contribution to the social and cultural life of the student community
Supporting reference document:
Please attach a supporting reference document from one of the services the nominee has
contributed to. All nominations will be held in confidence.
The panel may contact the person making the nomination for further
information.
Nominations close on April 21 2016.
 Submit this form together with the supporting
reference document to:
[email protected]
or mail to Head of Campus at the address above