First Name:
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Last Name:
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Preferred name
Email Address:
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Phone Number:
Student Number
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Faculty
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e.g. Faculty of Arts, or Melbourne Graduate School of Education
International Student
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Select
Yes
No
Type of Study
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Select
Undergraduate
Graduate Coursework
RHD
Not applicable
If you are not currently a student, select 'Not applicable'.
Do you have any disabilities you would like us to know about?
Please let us know if we need to make any arrangements for your access to the service.
Where did you hear about us?
Select
University notice or letter
Friend or word of mouth
Advertisement
Website
Somewhere else at UMSU
Other
How would you prefer to receive advice from us?
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Email
Phone
Zoom
In Person
Please choose all that apply. Please note that this form does not create an appointment - we will be in contact via email to coordinate how we may best provide assistance.
Do you have a deadline?
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e.g. you need to respond to an allegation or uni notice, or lodge an appeal by a certain date. PLEASE SPECIFY THE DATE if you know. This will help us prioritise effectively. If there is no deadline please specify this in your enquiry.
Can we contact you later to evaluate the service you received from us?
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Select
Yes
No
We conduct a short online survey annually for quality assurance and accountability purposes.
Which process or part of the University does your matter relate to?
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Select
Misconduct
Assessment and Grades
Special consideration
"Show Cause" / Course Academic Progress (CAPC)
RHD supervision
The quality of teaching
Computers & IT infrastructure
Student support services
The nature of teaching or assessment
The standard of service received while accessing administrative support provided by the University
Not sure
This helps us understand what sort of assistance you may need.
If your matter relates to a specific subject or Faculty (other than your own, please specify)
Please indicate the subject name and/or code if your matter relates to one or more specific subjects.
Does your matter concern a complaint about a particular aspect of the University?
*
Select
My faculty or school
Student Equity and Disability Service (SEDS)
Stop 1
Examinations
Graduations
Safer Communities
International Student Services
Student Financial Aid
Student Housing Service
Melbourne Scholarships Office
Health Service
Counselling and Psychological Services (CAPS)
Student Portal
Melbourne University Sport
Academic Skills Unit
Transition and Orientation Programs
Murrup Barak
Not sure or Not applicable
What part of the University does your matter relate to? That is, if you have a complaint or dispute, what part of the university is it about? If you have received a notice from the University about misconduct of show cause, who sent it to you? If you can give us this information it will assist us to provide more definitive advice, if you don't know, select "Not sure".
Your issue or problem
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Please tell us about the issue you need assistance with, how you have already tried to address it, and attach any relevant documents below. We use this information to assess your issue and its urgency so we can respond appropriately. The more information you can provide, the better we can assess your issue and give you guidance on your next steps.
Privacy Statement
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I agree
The Advocacy Service is a department of the University of Melbourne Student Union (UMSU). The UMSU Advocacy Service manages personal and health information in accordance with the Information Privacy Act 2000 (Vic), the Health Records Act 2001 (Vic), and the Student Union Advocacy Service Confidentiality Policy. The information that we collect assists us to confirm your student status, contact and assist you, and is also aggregated into non-identifying statistics that facilitate our internal planning and review processes. We hold information on digital and paper based records, and take all reasonable steps to ensure that the information is accurate and complete and protected from misuse, loss, unauthorised access or disclosure. We will not disclose personal or health information to anyone without your permission, or unless permitted, or required by law. Should you wish to access information that we hold about you at any time, you may request access by speaking to the Manager, Advocacy & Legal. The information that we collect is stored securely for seven years and then destroyed. Our privacy policy is available on request. By submitting this form, you agree to be bound by this statement.
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