Tracking and Improving Community Engagement
Community Contribution Activity Information
Sample form only - not for submission.
*denotes mandatory fields
Details of Western Sydney University contact for this activity
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Research centre / institute
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Can you nominate one other staff member to update this activity data?
If yes, enter surname, press 'Search Surname' and 'Select'.
Please list all other Western Sydney University staff involved in this activity.
Enter surnames, press 'Search Surname' and 'Select'.
Name of activity
Location of activity
Greater Western Sydney
(Please select all local government areas that apply) *
(Please specify) *
Sydney Inner West
(Please specify) *
select which applies
Which of the following best describes this type of activity?
Adult or professional education programs
Cultural events or performances
Media interviews or editorials
Membership of a public panel or commission
Membership on community or non-governmental organisation board
Pro-bono services to the public
Public education services
Public lectures or presentations
Is this activity a service to a relevant profession or disciplinary society?
What best describes the type of this service?
Other leadership role in academic society
Which of the following best describes the audience or recipients of this activity?
Aboriginal and Torres Strait Islander communities
People with special needs
Senior age citizens
Students – high school
Students – pre-school
Students – primary school
Students – university
Youth in general
Please describe the activity in 1-3 sentences. *
Date of commencement
Is this activity completed? *
Does it have an evaluation report?
, please email to email@example.com
Please indicate when it is planned to be completed.
If you have any web links (e.g., reports, publications, video materials) on this activity, please enter their URLs in the text box below and select 'Add Link'.
Please describe the most significant outcomes of this activity for the public and/or for Western Sydney University (1-3 sentences) *
What are your future plans for this activity? *
What lessons have been learnt from this activity that could be of benefit to others?
Best aspect *
Needs improvement *
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18/10/2017 11:43:19 PM
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