EmailMe Form - Grievance Application

Grievance Application

This form is to be used by all Ikon students wishing to lodge a grievance.

This form should be read in conjunction with the following policies and procedures:

LINK TO GRIEVANCES AND APPEALS POLICY

This form applies to individuals who, having exhausted the possibility of informal resolution, wish to escalate the matter and lodge a formal grievance under Stage 2 of the resolution framework.

The form submitted should provide clear and sufficient information about the grievance to assist with the assessment, investigation and determination process, including:
• Description of the grievance incident including date, location, persons involved and other relevant circumstances
• Outline of the steps taken to resolve informally (or reasons for not making a direct approach)
• Proposed outcomes to settle the grievance
• Relevant documentation in support of the grievance or the proposed outcomes for resolution

Formal grievances may relate to academic and non-academic matters including, but not limited to, admission, enrolment, assessment, progression, misconduct, support and supervision, tuition fees, fines and refunds, discrimination, harassment, bullying or intimidation, facilities and resources, access and equity, and interactions with staff, students, education agents or other third parties where an arrangement to deliver exists.

Academic Grievance means a formal complaint where an individual believes they have received unfair treatment in relation to an academic matter for example, but not limited to, admission, course credit, assessment, progression, enrolment, fee refunds, academic misconduct etc.

Non-Academic Grievance means a formal complaint where an individual believes they have received unfair treatment in relation to matters that do not relate to curriculum, progress or enrolment for example, but not limited to, financial status, discrimination, bullying, data or privacy etc.

APPLICATION PROCESS

If an informal approach was unable to resolve the matter, or a complainant feels uncomfortable with making a direct approach, or the concern relates to a serious matter such as an allegation of misconduct or unlawful behaviour, a formal grievance can be initiated by lodging this form.

The form submitted should provide clear and sufficient information about the grievance to assist with the assessment, investigation and determination process, including:
• Description of the grievance incident including date, location, persons involved and other relevant circumstances
• Outline of the steps taken to resolve informally (or reasons for not making a direct approach)
• Proposed outcomes to settle the grievance
• Relevant documentation in support of the grievance or the proposed outcomes for resolution

Grievances will be treated with confidentiality at all times.

Disclosure and access to records will be provided on a ‘need-toknow’ basis and limited to individuals legitimately involved in the grievance and the resolution process, or as required by law.

Individuals will not be disadvantaged or victimised for lodging a formal grievance. Staff will act fairly at all times to assure there is no bias during the resolution process.

Grievances may be withdrawn at any time by the complainant however Ikon reserves the right to continue investigation to satisfy other requirements or protect its own interests.

IMPORTANT: All notifications during the grievance process will be sent by email. It is your responsibility
to check your email inbox. It is vital you are aware of progress in the event a conciliation meeting is called, or additional information is required.
A. STUDENT DETAILS
Student ID IKO******* *
(Students Only)
Student Name *
Email *
Campus *
Address *
Relationship to Ikon *
Student
Potential Student
Staff
Other
B. Grievance Details
Course Title *
Subject Name *
(Please write N/A if not related to a subject)
Type of Grievance *
Academic Grievance
Non-Academic Grievance
Other
GRIEVANCE STATEMENT

Provide a detailed statement describing the grievance incident including the date, location, and persons involved and witnesses (including contact details), keep to the facts as they happened, explain how you felt about the behaviour but refrain from emotive language, provide enough detail to assist with an investigation. *
Have you tried to discuss the decision informally? *
Yes
No
If yes, outline the steps taken to review the decision informally , include who you have spoken to and the outcome of your direct approach attempt/s

If no, explain briefly why you have not tried to discuss the decision informally (or why you feel you are unable to approach the person/s involved directly) *
Provide an outline of what you would consider a satisfactory outcome to your grievance, what solutions do you see as reasonable and acceptable to the problem *
C. PERSONAL DETAILS
List all documentation attached as evidence to support of your appeal, and/or the proposed outcomes for resolution for example, but not limited to, relevant correspondence, emails, policy extracts (or references), support letters, witness statements etc. *
Please upload your documents here:

Add File
DECLERATION AND FEE INFORMATION
In signing below, I acknowledge, confirm and accept:
Read and confirm the following: *
I have read the Grievance & Appeals Policy and understand the resolution process for grievances.
I believe the information provided is true and accurately represent the facts.
I consent and give Ikon permission to contact relevant parties to the appeal to verify the authenticity of my claims and supporting documentation and to seek further information about the originating source to make an informed determination.
I understand that I may be asked to provide a more specific consent to disclosure of information should this be required by Ikon, answer questions and/or make myself available to attend a reconciliation meeting.
It is my responsibility to provide sufficient detail about the grievance and relevant evidence to support my claims.
I understand the resolution I am seeking is not guaranteed and that the final determination is bound by legislation, regulatory standards and institutional policy.
Ikon reserves the right to vary or reverse any decision in relation to this grievance on the basis of false or deliberately misleading information.
I acknowledge disciplinary action or legal remedy may be taken if I knowingly make frivolous, vexatious, false or misleading claims.
Student signature *
Clear
Application submission date (student to complete): *
MM / DD / YYYY