Get in touch About you Given name/s Surname I identify as - optional Male Female Other If Other above, please specify - optional Telephone - optional Student email address Student ID Student type - optional Select all that apply Domestic International ATSI Mature age (25+ years of age) Study load - optional Full-time Part-time School School of Nursing, Midwifery and Paramedicine School of Business and Creative Industries School of Education and Tertiary Access School of Health and Behavioural Sciences School of Law and Society School of Science, Technology and Engineering Research student - optional Yes No Campus ATMC Melbourne ATMC Sydney Caboolture Fraser Coast Gympie Sunshine Coast SouthBank Other Program Grievance details I am seeking a review of an administrative decision after having tried to informally resolve the matter (you must make every effort to resolve the matter informally before moving to a formal grievance). I requested my issue be considered by USC staff member's full name The request was made on Please use DD/MM/YYYY date format Grievance relates to Program advice Enrolment Graduation ceremony Fees Credit transfer Clearly state the details of your grievance Include relevant times, dates, people you spoke with, details of other communications, locations, etc. Please list only the facts in the order that they happened. Supporting evidence - optional Select the number of supporting evidence items to be provided 1 2 3 4 Supporting evidence (item 1) Type of evidence (item 1) - optional e.g. email, letter, screenshot File attachment (item 1) - optional Description of document content (item 1) - optional Supporting evidence (item 2) Type of evidence (item 2) - optional e.g. email, letter, screenshot File attachment (item 2) - optional Description of document content (item 2) - optional Supporting evidence (item 3) Type of evidence (item 3) - optional e.g. email, letter, screenshot File attachment (item 3) - optional Description of document content (item 3) - optional Supporting evidence (item 4) Type of evidence (item 4) - optional e.g. email, letter, screenshot File attachment (item 4) - optional Description of document content (item 4) - optional Outcome What outcome are you seeking? - optional Please consider what you would realistically need in order to feel that the matter was resolved. Clearly and briefly state your desired resolution to the issue. Independent support All students are entitled to seek independent support and advice regarding a complaint or grievance from the Student Guild. USC encourages students to contact the Guild to discuss their complaint or grievance prior to commencing formal grievance procedures. The Student Guild can be contacted on (07)5456 3742 or email AdvocacyStudentGuild@usc.edu.au. I have sought support and advice from the Student Guild prior to lodging this grievance. - optional Yes No Agreement By submitting this form, I confirm: I have read the information policies and procedures related to my grievance The information provided by me on this form is true and accurate Accept agreement Yes
