Student Feedback, Complaints and Appeals Form

Feedback, Complaints and Appeals
Please complete section A
Your Submission
Please review section A, then complete section B
Your Submission Outcome
(listed at the Submission's end)
Submission Outcome
Note: Before filling out this Form please refer to the Sydney International School of Technology and Commerce (SISTC) Student Complaints, Appeals and Grievances Policy and Procedures and/or the SISTC Review of Grades and Academic Appeals Policy and Procedures, available on the SISTC website.
A. Student Details

Completed by the Student
Please tick one
Student Name

Family NameGiven Names
Student ID
Student Email
Campus
Course Type
Please provide detailed information about the unit you are appealing. If needed, include the names of the specific assessments. For multiple units, please submit a new form for each appeal.
Submission Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
1. What decision or action does your feedback, complaint, appeal or grievance relate to?
Please 1. Describe the decision or action, 2. Indicate who made the decision or took the action, and 3. The approximate date when this happened.
2. Why do you disagree with the decision/action OR why are you unhappy about it?
Please provide any information you feel is relevant to your request for a review.
3. What action or outcome are you seeking from your complaint/appeal/grievance?
4(a). Do you agree to the School discussing your complaint, appeal or grievance with any staff members or students who can provide relevant information about it?
4(b). Is there any person you do not want this discussed with? If so, who?
5(a). What evidence / documents / further information have you included with this request?
Please list your attachments here and attach them to this request this may include further details relating to points 1, 2 and 3 if there is insufficient space in this form.
5(b). Your evidence / documents / further information to support your request?

Cancelof
B. Decision

Completed by the Chair of Appeal Committee, Dean or Deputy Director of Student Services
Reviewed by

First NameLast Name
Position
Note:
I have considered the student’s past record (if any), their level of study, the particular circumstances. I classify this matter as the:
Outcome
Reason:
I have added the outcome to the students record
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Notifications

Send a notification of this outcome to the following email address(es)
Email 1
Email 2
Email 3
Email 4
Doc: Student Feedback, Complaints and Appeals Form 01.00

Australia Advance Education Group Pty Ltd. trading as Sydney International School of Technology and Commerce.
TEQSA PRV14311 CRICOS 03836J ABN 74 613 055 440 ACN 613 055 440
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Feedback, Complaints and Appeals

A. Student Details

B. Decision

Notifications