Family Name: First Name:
Student ID Number: Contact Telephone:
Suburb: Country: Postcode:
JCU Email Address: @my.jcu.edu.au
Student Advocate/Representative/Support Person
You may have a Student Advocate who can give you advice and assist with your complaint, or a support person.
If you have one of these, please provide their details:
(eg Student Advisor, friend, parent):
Information about how complaints are managed can be found at the Student Complaints webpages. The pro-
cedure for submitting a formal complaint is found in paragraphs 2.1-2.5 of the Student Complaint Management
Policy and Procedures. You can also contact the Student Complaints and Quality Improvement Unit on (07) 4232
1397 for advice.
After you submit this form, we will acknowledge this in writing. Your complaint will be referred to the relevant
senior manager within the University. A record of all actions will be kept.
The information you provide to us will be treated condentially. It will not be disclosed to a third party other
than to comply with the law or for the purpose of managing your complaint. The details of your complaint (in-
cluding your identity) may be shared with a person you are complaining about or potential witnesses.
Please use this form to submit a formal complaint to the university. It is intended to help you dene what the
problem is and tell us what you have already done to try and resolve it. It will also guide you in the types of
information needed to resolve your complaint. If there is more than one complainant, each complainant must
complete a separate form.
Please provide a typed statement about your complaint that includes, where relevant:
(If there is not enough space for you to complete you complaint statement here please attach a separate statement to this form)
• A description of the events that have occurred;
Clearly explain who and/or what you are complaining about and how you have been adversely and unjustiably impacted. Try to
discuss events in chronological order: state their dates, times and locations, and the names of those who involved.
• The steps have you already taken to try to resolve the complaint;
List your actions to date. Who have you spoken to? State why you have not been able to resolve the matter informally
Student Complaint Form