Stage 3: Institutional Review

Section 1 - Personal Information

Title

Surname / Last Name

First Name

Address line 1

Address line 2

Town or city

County

Postcode

Country

Preferred telephone contact number

Email Address

Section 2 - Application Information

This section is for the details of the application concerned in the complaint.

Title:

Surname / Last Name:

First Name:

Date of Birth:

UCAS Personal ID:

Warwick ID Number:

Course Title:

Course Code:

I am the applicant concerned in this complaint.

I am not the applicant concerned in this complaint, but I have their written consent and this is enclosed with this form.

Section 3 - Complaint

Please summarise your complaint. 500 words max

When did you receive the outcome of your Stage 2 Formal Resolution?

Please give full details of the outcome of the Stage 2 Formal Resolution stage. Please also upload a copy of the written response that you were given using the upload facility below

There is evidence of procedural irregularity or bias at Stage 2

The Stage 2 outcome is considered unreasonable

Material evidence is available that was unavailable at Stage 2

Please outline and provide any evidence as to why you feel the grounds selected above apply to your complaint and give a full explanation of why you are dissatisfied with the Stage 2: Formal Response.

Section 4 - Desired Resolution

Please tell us how you would like the University to resolve your complaint.

Section 5 - Disability

If you require any reasonable adjustments to the complaints process due to a disability, please provide details

Section 6 - Attachments

Please list all documents that you are attaching to your online form, and any documents or evidence which you are unable to attach, but consider relevant to your complaint.

Attachments

Attach file

No files are currently attached.

Please note that there is a limit of 10 attachments should you require to submit additional documentation please list in Section 7

Section 7 - Further Documentation

Yes

If Yes, please list any additional documentation that you will submit. The University will not be able to begin to consider your Stage 3 complaint until all documentation has been received

Section 8 - Declaration

I believe that the above information is accurate. I confirm that details of this complaint can be passed on to relevant members of University staff for comment and consideration.

Privacy notice

By electronically submitting this form you confirm that you are aware of and have read the Student Recruitment, Outreach and Admissions Complaints Procedure. The information submitted in this form will only be released to appropriate members of staff.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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Stage 3: Institutional Review

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