Complaints and Appeals Form

Date
DD slash MM slash YYYY
Your Name:
Contact Details:
Phone:
Address
Email Address:
Please indicate which of the following applies to you:
- Prospective student
- Current student
- Past student
- Workplace or Employer
- Partner Organisation
- Other
Other
Please indicate which of the following applies to you:
- Complaint
- Appeal (unrelated to assessment)
- Assessment Appeal
1. Please outline the reasons for your complaint or appeal in as much detail as possible. You may attach additional pages and supporting information as needed.
For complaints and appeals not related to assessment, please complete the following.
2. Please make any suggestions you have to resolve this issue.
3. Are there particular staff members of International College of Melbourne who may need be involved in the investigation of this complaint or appeal and in what way?
For assessment appeals, please complete the following.
4. Which unit and/or task is this appeal in relation to?
Signature
Date
DD slash MM slash YYYY
Chief Executive Officer
Mr. Pravin Bhargav
Email: [email protected]