Student Complaints Form

2018/19

University for the Creative Arts

Student Complaints Form

Stage 2 –University

We suggest you read the Student Complaints Policy before completing this form. It is available at:. In the first instance, complaints must be raised locally with the Assistant Campus Registrar (stage 1). This form should only be completed once the local stage has been completed and an outcome has been received. Where available, a copy of the written stage 1 outcome shouldbe submitted together with this form.
Privacy Notice
Student Complaints are considered confidential by the University and as such details contained within them will not be shared with persons other than those named within the regulations as being essential to the investigation and final decision making process.
UCA will securely retain and process information sent by you in connection with your complaint during the period of investigation and for five years thereafter.
Please see the Student Data Protection Privacy Notice for further details available at the following link:
When you have completed the form:
Either email it or send to:
Quality Manager
Quality Assurance and Enhancement
University for the Creative Arts
Falkner Road
Farnham
Surrey
GU9 7DS.
Please mark the top left of your envelope ‘Complaints Form Enclosed’.

Your details

Standard communication will be via email. Please give all your current email addresses.

Student Number
Title
Surname
First Name
Preferred Email Address
Daytime phone
Address for correspondence
(include postcode)

Complaint Details

Which element/area of the University or department/servicedo you wish to complain about (please describe, e.g. ‘the organisation and management of my course’)?
Is your complaint about the support you receive/believe you should receive for a disability and/or specific learning need? / YES NO
If the answer to the above question is yes, are you in receipt of Disabled Student Allowances (DSAs)? / YES NO

Stage 1 Outline

Please outline what has already taken place to try and resolve your complaint locally within the department or areaabout which you are complaining (stage 1). Please include dates and staff from the University who have been involved in those discussions.

Your complaint

Please set out below the main points to your complaint, including why you consider the earlier local attempts to resolve ithave been unsatisfactory.

If you need more space, please continue on a separate sheet of paper.

What resolution are you seeking?

Your registration status

Name of course you are/were registered on
Campus
When were/are you registered
with the University?
What is/was your (expected) completion date? / Day / Month / Year
From
To

If you have a disability or support requirement which means there are adjustments you would like us to consider making to our investigation process, please indicate these here. (If necessary, we will contact you to discuss this in further detail.)

Please include the following documentation with this form as applicable:

• A copy of the written outcome at stage 1 of the student complaints process where available;
• A copy of all relevant correspondence and other documentation
• Signed statements from any third parties who can provide evidence related to your complaint

Authority for the Quality Managerto arrange for the investigation of your complaint

I would like the Quality Managerto consider my complaint and appoint an impartial senior member of staff to investigate.

I understand that:

• the University for the Creative Arts will share the information contained in this form with persons relevant to the investigation process. This may include any persons who may be the subject of the complaint, named witnesses and University staff members essential to the final decision making process.
  
• following the investigation into my complaint, the complaint investigation report may contain details of personal information I have divulged during the investigation process and that the outcome will be shared with persons essential to implementing any resulting actions. If the complaint is about one or more named individuals, I understand that the investigation outcome will normally also be shared with them.

SIGN HERE

I agree to the above and confirm that I believe the facts stated in this application to be true. I am aware of the regulations regarding vexatious, malicious or frivolous complaints.

(Even if you have appointed someone else to complain on your behalf.)

Signature Date

I am enclosing the following:

An account and written outcome of stage 1 of the student complaint process (where available)

Copies of relevant supporting documents

Copies of any relevant third party statements

I have:

Kept a copy of this form and all documentation I have sent as I will not receive the originals back.

Please return the completed form together with supporting documentation to the address shown on page 1 of this form.

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