Tickit on Demand - Australian College of Theology

Formal Grievance Report Form

This form is completed after a formal grievance has been received in writing and a formal statement of the final outcome of the grievance resolution process has been issued to the student/appellant. It is to be completed by the Academic Dean or Principal of a college, the ACT Registrar or ACT Dean. In some cases, grievance resolution may be initiated with a different person or body after the stage reported in the form. It is necessary to attach a PDF copy of the initial written grievance/appeal as well as a PDF copy of the final written response. This is done after all details have been entered into the form. Other formal documentation of the grievance resolution process may also be uploaded with the form. Following submission of the form you will be provided the opportunity to export a PDF copy of the submitted form for the college's records.

Note that the form can be saved as a draft and edited before submitting it to ACT. If the form is completed using the weblink, after saving as a draft you will get a link to re-open the draft. Anyone with the link will be able to open and edit the draft until it is submitted.

Your Name^*

Your Email^*

College^*

Purpose of Form

This form is used to report the management of a formal grievance once the final decision has been made and the student/appellant has been informed of the decision. It may be used for ACT domestic and overseas students or non-enrolled students who have lodged a formal grievance. It is not to be used to report informal grievances or to lodge a grievance with a college or the ACT. The ACT Grievance Resolution Policies are available on the ACT website. Linked below are templates to be used in acknowledging the receipt of a formal grievance and providing notification of the outcome of the grievance resolution process.

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FormalGrievanceAcknowledgmentTemplate.docx

Formal Grievance Acknowledgment Template

FormalGrievanceAcknowledgmentTemplate.docx

Download:

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FormalGrievanceOutcomeAdviceTemplateforusebycolleges.docx

Formal Grievance Outcome Notice Template (for colleges)

FormalGrievanceOutcomeAdviceTemplateforusebycolleges.docx

Download:

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FormalGrievanceOutcomeAdviceTemplateforusebyACTDeanonly.docx

Formal Grievance Outcome Notice Template (for ACT Dean)

FormalGrievanceOutcomeAdviceTemplateforusebyACTDeanonly.docx

Download:

Confirm a Formal Grievance Has Been Lodged

Please tick the box to confirm the student/appellant has lodged a formal grievance in writing

When was the written grievance lodged?^*

If a written grievance was not lodged by the student, please provide an explanation.

Information About the Grievance

What type of grievance has been lodged?^*

If the grievance concerns a unit grade, has a fee been charged to the student for the management of the grievance?^*

YesNo

If the outcome of the grievance was a change in a student's mark or grade, please ensure the change has been made in PARADIGM. Please notify the ACT Academic Services team to change the results of a published grade.

Please provide a brief description of the grievance and ATTACH AS AN EVIDENCE DOCUMENT a PDF of the written grievance of the student/appellant^*

Note: When using the online form, evidence documents are attached after all required fields of the form have been filled and the 'Submit Form Details' button is pressed.

What is the position of the person completing this form?^*

If other, state the position title^*

If the ACT Registrar is completing the form, is the grievance directed to the Academic Appeals Committee?^*

YesNo

Was the grievance lodged with, and primarily managed by, yourself?^*

YesNo

If the grievance was lodged with and primarily managed by another person, state their full name and position title^*

Which ACT affiliated college does the grievance primarily concern?^*

If an other affiliated college, please state the name of the college^*

Information About the Person Who Lodged the Grievance

Is the person who lodged the formal grievance a currently enrolled or former ACT student?^*

YesNo

What is the ACT Student Number of the person who lodged the grievance?^*

What is the name of the person who lodged the grievance?^*

(first name and last name)

Is the person who lodged the grievance an overseas student or prospective overseas student?^*

YesNoUnknown

Responses to the Grievance and the Final Outcome

Was an informal resolution of the grievance attempted before the formal grievance was lodged?^*

Note: ACT policy does not require that an informal resolution is attempted before a formal grievance is lodged.

YesNot to my knowledge

What was the position of the staff member(s) who participated in the informal grievance resolution process? ^*

Multiple responses allowed

If other, please provide the position title(s)^*

Has a formal grievance resolution process been undertaken regarding this issue in the past?^*

YesNot to my knowledge

If a formal grievance resolution process has been previously undertaken regarding this issue, please state the name and position of the person who primarily managed the process?^*

Has a written acknowledgment of receipt of the grievance been issued to the student/appellant?^*

YesNo

When was the written acknowledgment issued to the student/appellant?^*

If a written acknowledgment of the grievance has not been issued, please provide an explanation^*

What steps have been taken to resolve the grievance?^*

Did the student/appellant withdraw the formal grievance before a final decision on the grievance was issued?^*

YesNo

Has written advice on the final decision or outcome of the issue been provided to the student/appellant?^*

Yes (PLEASE ATTACH a PDF of the written advice to this form)No

When was the written notice of the decision or outcome issued to the student/appellant?^*

If written advice of the final decision or outcome has not been issued, please provide an explanation^*

Provide a brief description of the final decision or outcome of the grievance^*

Was the grievance resolved to the satisfaction of the student/appellant? ^*

YesNoUnknown

If the student/appellant was not satisfied with the outcome of the grievance resolution process, do they intend to lodge the grievance with another person/body?^*

YesNoUnknown

Any other comments about this grievance?

Optional

Thank you for completing the form. Please select submit if all information is correctly entered. Please ensure the required evidence documents are attached to the form.

Required evidence documents include: 1) A PDF of the student's/appellant's grievance, 2) A PDF of the written advice on the final decision, and 3) Any other formal documents arising from the resolution of the grievance.

Attach Evidence Documents

Add another Document