Submit a complaint

I am a *

Title

Given name *

Family name *

Name by which you prefer to be addressed

Email address *

Campus

What do you want to say? Please describe the matter that has caused you concern (1000 words or less)

Please attach any supporting documents along with this form. NOTE: doc, docx, jpg, pdf and png file types only. Max 8MB file size.

What outcome/resolution are you seeking to resolve your complaint?

Preferred contact

*We require your complaint in writing. If you have accessibility requirements, please contact us for an alternative method of communication.

Declaration *

In submitting this complaint, I confirm that:

The information I have provided on this form is correct to the best of my knowledge;

I agree to act in good faith and actively engage in the Student Complaint Management System processes; and

I understand that the information I provide will be treated confidentially and will not be disclosed to a third party unless required.

Confidentiality and Privacy statement

La Trobe University values and is committed to protecting the privacy of its students. We collect and use the personal information provided on this form to address your concerns.

* response required