7/28/2019 Student Complaint Form Stage 1 2011-2012

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 PRIFYSGOL MORGANNWG

UNIVERSITY OF GLAMORGAN STUDENT COMPLAINT FORM  – Stage 1

All Sections Must Be Completed

1. Surname (Family name)

2. First names

3. Student ID number 

4. a) Address for correspondence b) Email address:

c) Telephone Number:

5. Award Title

6. Brief summary of the complaint. Please continue on another sheet if necessary.

7. How have the circumstances about which you wish to complain affected you?

8. Summary of the steps taken to address your complaint

9. What reasonable steps would you like to be taken to resolve your complaint?

10. Please provide all the evidence that you have to support your complaint.

11. Declaration: I declare that the information given above and on the attached sheets isaccurate to the best of my knowledge.

Signed:  ……………………………………. Date: …………………………… 

NB - Please refer to guidance for assistance in completing this form.

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Guidance notes for the completion Student Complaints Form  – Stage 1

These guidance notes should be read in conjunction with the Student Complaints procedure. Please notethat you are entitled to complain about Academic matters, student experience, discrimination, malpracticeor impropriety. Academic Appeals, harassment and allegations of misconduct are dealt with under separate procedures; please refer to the Academic Handbook for guidance.

1. Surn ame, 2. First Names, 3. Student Enrolmen t Number: 

Please ensure that these sections are completed accurately so that we are able to identify you correctly.The student enrolment number is particularly important as we often have several students enrolled with thesame name.

4. a) Address fo r co rrespond ence, b) Email address, c) Telephone number: 

 Any request for further evidence or response to your complaint will be sent to the address provided. Pleasenote on the form which address, postal or email, you would like us to contact you at. If this is not noted wewill use your postal address

If you are concerned that the address details the University holds for you may not be accurate pleasecontact your Faculty Office.

5. Award Title 

Please state the award (course) that you are enrolled on.

This should indicate the level of the award (HNC, HND, FD,BA, BSc, BEng, MSc) and the exact award title(Business Studies, Mechanical Engineering).

6. Brief summ ary of the complaint .

Please outline your reasons for complaining giving all relevant details. Continue on a separate sheet if necessary.

7. How have the circums tances, about w hich yo u wish to complain, affected you? 

Please explain how the circumstances you have described have affected you  – e.g. have there beenfinancial repercussions? Has your health been affected? Has your ability to perform in assessments beenaffected? etc.

8. Summary of the steps taken to address yo ur com plaint 

Please explain what steps have been taken to resolve your complaint, e.g. have you met with faculty staff in order to try to resolve the issue.

9. What reasonable steps would yo u l ike to be taken to resolve your comp laint? 

Please specify any reasonable steps that you feel would be appropriate in order to resolve your complaint.

10. Please provid e all the evidence that you have to supp ort yo ur com plaint.

Please detail any evidence which you have enclosed to support your complaint here. Applications without

appropriate evidence are less likely to have a positive outcome. If you need advice on what evidence toinclude you should contact your Faculty Advice Shop, the Quality Unit in Academic Registry, or theStudents Union..11. Declaration 

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You must sign and date the form or it will be returned to you.Please note that all sections of the form must be completed.

 All forms must be sent to:

The Quality Unit Academic RegistryUniversity of Glamorgan1 Llantwit RoadTreforestCF37 1DL

Examples of services your complaint may affect might include Accommodation Services, Learning andCorporate Support Services, Student Services or the Finance Department.

For informal queries please contact the Quality Unit by calling (01443) 480480.