Student Ombudsman Enquiry form

This form is for QUT students that are seeking advice on an administrative or academic matter OR; have a complaint that remains unresolved after they have followed the Grievance resolution procedures for student related grievances.

*Who is completing this form? (required)Please select one of the below options:

I am a QUT student

I am a immediate past QUT student (with enrolment at QUT in the last 6 months)

I am completing this form on behalf of a QUT student

Other

Please provide details of Other (required)

Please visit QUT - Report a Concern for information on how to raise a concern. If you are not a QUT student or staff member and your complaint does not fall within the areas listed above, you can submit a complaint by emailing complaints@qut.edu.au. This form will now close.

Third Party Authorisation

Your name (required)

First Name

Last Name

Your email address (required)

Your relationship to the student (required)

Have you received third party authorisation from the student and/or QUT to enquire on their behalf? (required)

Yes

Please note, we will require evidence of the Third Party Authorisation (TPA) approval. We will check the student's QUT records for a TPA. Alternatively, please provide evidence of the authorisation by uploading in the attachments section of the form. If we are unable to determine authorisation approval, we will revert back to you to request evidence of the authorisation prior to responding to your matter.

Please upload a completed Third Party Authorisation (TPA) form. (required)

If the QUT student is wanting you to discuss their matters with our office, the student will need to complete the Third Party Authorisation form. The TPA form enables students to authorise release of their personal information to a third party they nominate. Please note we will be unable to share any detail about the student with you until the TPA has been approved by QUT. Alternatively, please ask the student to complete this enquiry form themselves.

Name (required)

First Name

Last Name

QUT ID number (required)

Email (required)Please provide your QUT student email address as the Student Ombudsman Office will send all communications to your QUT student email. If you cannot access your QUT student email (i.e. if you are not currently enrolled), please provide an alternative email address. Otherwise, all communications will be sent to your QUT student email address. Please ensure you check your QUT email for a response to your enquiry.

QUT Course your enquiry relates to (required)

Unit Code/s your enquiry relates to (if applicable)

Enquiry type (required)Please note that if you are a QUT College student wanting to submit a Level 2 Appeal in the Attendance Process, you should select "I am wanting to submit a complaint."

I am seeking advice only (not complaint related).

I am wanting to submit a complaint.

What matter are you seeking advice on?

About your complaint

What is your main complaint about?

Please select from list. (required)

Tell us more about the matter and how we can assist you. (required)

Please upload relevant documents

Tell us what happened and when, in order of occurrence. Please note the form is limited to five occurrences.

Earliest Occurrence (required)

Earliest Occurrence Date (required)Approximately what date did this take place?

Add another occurrence

Second Occurrence (required)

Second Occurrence Date Approximately what date did this take place?

Add another occurrence

Third Occurrence (required)

Third Occurrence Date Approximately what date did this take place?

Add another occurrence

Fourth Occurrence (required)

Fourth Occurrence Date (required)Approximately what date did this take place?

Add another occurrence

Fifth Occurrence (required)

Fifth Occurrence Date (required)Approximately what date did this take place?

Do you want to provide any additional information?

What outcome are you seeking? (required)

How have you attempted to resolve your complaint informally, directly with the parties involved? (required)

Please note, if you haven't attempted to informally resolve your matter directly with the parties involved, you may be advised to do so in the first instance, as per Level One in the Three level grievance resolution process.

File UploadUpload any supporting documentation and/or evidence, i.e. PDF, JPEG, Excel, Word etc. Please note that file upload limit is 4MB.

I give permission for the QUT Student Ombudsman Office to request and disclose information relevant to my matter with other departments of QUT, as required. (required)

I consent

I do not consent

Please note, if you do not consent, your identity will not be revealed to other departments of QUT. However, there may be limitations to the extent which anonymous enquiries can be fully investigated and/or resolved.

Student Ombudsman Enquiry form

Enquirer

Third Party Authorisation

Student details

About your enquiry

Advice only

About your complaint

Consent