Student Concerns and Complaints Procedure

Stage 2 FormalComplaint

Thisformistobecompletedinaccordance withstage2oftheStudent Concerns and Complaints Procedureandshouldbesubmittedelectronically . Alternatively, you may print this form, complete it and submit it to the Student Services Hub in the Silberrad Student Centre.

If you require any further information, please contact the Student Services Hub, Silberrad Student Centre, email , telephone 01206 874000.

Pleasedonotcompletethisformunlessyouare dissatisfied with the outcome of the early resolution (stage1)oftheStudent Concerns and Complaints Procedure.

Incompletingtheform,pleaserefertotheStudent Concerns and Complaints Procedure: notnormallyacceptcomplaintsmademorethanthreemonthsaftertheeventscomplainedabout.TheAcademicRegistrarhasdiscretiontoextendthisthreemonthperiodwherehe/sheconsidersthattherearecompellingreasonstodoso.

Acomplaint willnotbeinvestigatedifthisformhasnotbeencompletedinfullorifitisanonymous.

YouarestronglyencouragedtoseekadvicefromSUAdvice:Web:

Email:,Tel:01206874034

IMPORTANT NOTE:

Any person who is the subject of a concern or a complaint will be advised, and the concern or complaint normally copied to him/her, in order that s/he is given the opportunity to respond. It may also be necessary to disclose information to others in order to deal with the concern or complaint and, in these circumstances, the parties concerned will be informed of such a disclosure.

Section1:YourDetails

PRID
FirstName / Title
Surname
CorrespondenceAddress
TelephoneContact
EmailContact(pleaseuseUniversityemailaddresswhere possible)
Department or School
ProgrammeofStudy
YearofStudy

Section2:YourComplaint

2.1Issuesraised,preferredoutcomeandsupportingevidence
(If yourcomplaintorrelatedconcerninvolvesmorethanoneissuepleasenumberthem andrelateeachissuetothepreferredoutcomeyouareseekingwiththesupportingevidence)
Pleaselistspecificissueswhichyouwouldlikeinvestigated / PreferredOutcome / Pleaselistevidenceyouwishtosubmit(Pleasenumbertheattachedevidenceclearly)
2.2 ActiontakenatStage 1–
If youhavenotcompletedStage1oftheStudent Concerns and ComplaintsProcedure,pleasecontacttherelevantDepartment,SchoolorServicetoraise yourconcernswiththem.ItisUniversitypolicytoresolveallconcernsattheearlyresolutionstagewherepossible.If,forsomereason,youareunabletoraise yourconcernsdirectlywiththerelevantDepartment,SchoolorService,pleasestateyourreasonsbelow.
Pleaseticktoconfirmthatyouhavetriedtoresolvetheissue(s)atstage1:Early Resolution. / Tick / Date
Pleaseexplainwhatstepsyouhavetakentoresolveyourconcernsat stage 1 / Pleaseindicatethepersonwhohasrespondedtoyouandthedateoftheresponse / Pleaseindicatewhyyouarenotsatisfiedaftertheearly resolutionstage

Section3:OtherCommunication

3.If youhave writtenaformalletterstating yourcomplaintorrelatedconcernstoanyoneelseintheUniversity,pleaseindicatetheirnamesbelowandprovideacopyoftheletter/emailsenttothem,togetherwithacopyofanyresponseyouhavereceived.
Name / Attached

Section4:Declaration

IdeclarethattheinformationgiveninthisformistruetothebestofmyknowledgeandthatIwouldbewillingtoanswerfurtherquestionsrelatingtoitifnecessary.
Signature:
(Pleaseprintnameifcompletingelectronically) / Date: