Complaints and Appeals Form

Complaints and Appeals Form
Stage 1 (Informal Resolution)
Please ensure that you have tried to resolve the complaints by first approaching the relevant members of the staff. (Students who wish to lodge complaint/appeal are to fill in this form and meet the Student Services Officer/Student Welfare Officer)
Personal Details:
Full Name: *
Position of Complainant/Appellant *
Phone No: *
Email: *
example@example.com
Address: *
If the complainant is student, please provide the following details
Student ID:
Course Name:
Complaints/Appeal details
Complaint Details

Date the cause of complaint occured: Date
Reason for the complaint:

General Operations Assessment ESOS related complaint Other
Have you complained about the issue before?
Yes No
If yes, please list the date, the complaint was lodged: Date
Appeal Details

Date the cause of complaint occurred: Date
Type a question

Assessment outcome Any outcome of any application for request Any disciplinary action taken against you Other (Please specify below)
Complaint/Appeal Summary: Please give detailed explanation of complaint/appeal and attach any supporting evidence (add additional sheets where required)
File Upload

Upload any evidence you wish to submit
Cancel of
Declaration *

All the information provided in this form is correct and accurate to the best of my knowledge. I am happy to attend any meeting with relevant persons required to resolve the issue.
Signature: *

Clear
Date: *

Day Month Year
Date
Stage II (Formal Resolution, through Internal Appeals Committee)
1. The student can be accompanied by a ‘Support Person’ while hearing the case in the Internal Complaints/Appeals Committee.

2. Note that during this process, a student’s enrolment will be maintained until the outcome of the complaint or appeal is known, except for exceptional cases. Please provide a written statement of the outcome including reasons and details for the decision to the student within 10 working days.

3. The procedure does not remove the right of the student to act under Australia’s consumer protection laws, if they are dissatisfied with Glen Institute’s “complaints and appeals process.”

4. Students are also advised to contact the Overseas Student Ombudsman, where they are not happy with the outcome of the Internal Appeals process: http://www.ombudsman.gov.au/making-a-complaint/overseas-students for external appeals. Phone: 1300 362 072
Date

Day Month Year
Date
Office Use Only
Personal Details:
RTO Manager
Complainant Name:
Student ID: (if student)
Method of Lodgement:

Email In person Mail Phone
Should be Empty:

Complaints and Appeals Form

Stage 1 (Informal Resolution)

Personal Details:

Complaints/Appeal details

Stage II (Formal Resolution, through Internal Appeals Committee)

Office Use Only

Personal Details: