Complaints and Appeals Form

"*" indicates required fields

For information related to this form, please see Australian College ‘Complaints and Appeals Policy and Procedure’.

Is this a:

Complaint

Appeal

Full Name*

Student ID:*

Address

Email Address*

Phone

Qualification/Course Undertaken*

Date of Occurrence*

Reason for your submission / concern*

(Please provide as much detail as possible and attach any supporting evidence you may have to support your complaint/appeal)

Occurrences leading up to this submission*

(Outline any steps taken prior to submitting your formal complaint or appeal.)

Outcomes you are seeking from this process:

(Include full name and position)

By signing this form, I confirm that the information provided is true and correct .

Signature

Date

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