Complaints & Appeal Form | Rockford College

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Complaints/Appeal Form

To be filled out by the Complainant and submit to Student Services. Principal (PEO) will review the application.

Complainant Name *

Student Number *

Email *

Contact Number *

Course *

Date of Incident *

Please describe the matter that you want to raise as a complaint/appeal *

Complaint Resolution- Please answer the questions below then describe efforts made to resolve the issue around the complaint following our procedures:

1. Have you discussed the issue(s) with the person involved or the relevant member of staff or the trainer? *

Yes No

2. Where that is not appropriate or not effective, the complaint can be discussed with the Academic Manager or Student Services & Administration Manager. Have you done this? *

Yes No

3. If you are filling in this form, does this mean you are not satisfied with the suggested resolution? *

Yes No

Please explain *

Complainant’s Signature *

Date *

Complete

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