Advocacy Assistance Form Confidential Support for UniSQ Students Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Personal Details - Step 1 of 3Personal DetailsName *FirstLastEmail *EmailConfirm EmailLayoutDate of Birth *Phone *Student Number *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryNextUni SQ DetailsLayoutCampus *CampusToowoombaSpringfieldIpswichDistance Education / OnlineUni SQ SydneySchool of Study *School of StudyAgriculture and Environmental ScienceBusinessCreative ArtsEducationEngineeringHealth and Medical ScienceHumanities and CommunicationLaw and JusticeMathematics, Physics and ComputingNursing and MidwiferyPsychology and WellbeingSurveying and Built EnvironmentStudy Level *Study LevelUndergraduatePostgraduateResearchNon-AwardsLayoutAre you an International Student? *Are you an International Student?YesNoVisa Expiration Date *Are you Sponsored? *Are you Sponsored?YesNoProgram Code or Name *Course Code or Name *PreviousNextAssistance Required *Assistance RequiredAcademic IntegrityAppealAssessment & Mark IssueCollege IssueEnrolment IssueGrievanceProgressionReview of DecisionWaiver Without Academic and Financial PenaltyPlease Provide Details *How Did you hear about the Advocacy Office *How did you hear about the Advocacy Office?Referred by College StaffCame into OfficeEmail from Student GuildSocial MediaPhoneiConnectWebsite – Student GuildWebsite – UniSQRecommended by other StudentRecommended by UniSQ StaffAdvocacy OfficerUpload Transcript * Click or drag a file to this area to upload. Students may view and print out unofficial academic transcript via Student Centre online. UConnect > Student Centre > Online Requests tile > Add New Request > Unofficial Transcript menu item > click the Unofficial Transcript PDF. This will open in a new window or tab. Please check your pop up blocker settings if the document does not automatically open when you select it. MAX 10MB .pdf .jpg .doc Upload Relevant Documents * Click or drag files to this area to upload. You can upload up to 5 files. Copies of letters/emails from Uni SQ regarding the matter e.g. Academic Integrity Notice, emails with lecturers, Turnitin reports, etc. MAX 10MB .pdf .jpg .doc Checkboxes *I have read and agree to the Terms of Service below *I understand that by completing this application that I am agreeing to seek assistance from the UniSQ Student Guild Advocacy Office. I agree that I will provide all documentation and information requested from me and I understand that if I do not provide such requested information that I may not receive the full benefit of the services of the Advocacy Office. I understand that the UniSQ Student Guild endeavours to answer all submissions and emails within 2 business days and that it is my responsibility to check my email, including spam and junk folders for any response received from the UniSQ Student Guild. I understand that while the UniSQ Student Guild Advocacy Office will provide me with guidance and recommendations as to the grievance I may have. I acknowledge that it is my responsibility to ensure that I meet all required UniSQ timelines and continue to progress any concerns that I may have through the appropriate systems. I understand and acknowledge that the Advocacy Office will not submit or prepare any documents or case on my behalf. Checkboxes (copy) *I have read and agree to the Privacy / Authority Statement below *I hereby seek assistance from the UniSQ Student Guild Advocacy Office as my Student Support Officer (as defined in the University of Southern Queensland’s Policy and Procedure Library) in accordance with the University of Southern Queensland Policies and Procedures; namely Student Grievance Resolution Policy, Student Grievance Resolution Procedure, Student Appeals Procedure, and Student General Misconduct Procedure. I further hereby authorise and permit the UniSQ Student Guild Advocacy Office to hold, send and receive, access and share (with the relevant involved parties) my personal and private information as a Student of the University of Southern Queensland in accordance with relevant UniSQ Student Guild Policy and Procedure, UniSQ Policy and Procedure, and State and Federal legislation. This Authorisation shall be considered valid until such time that the matters I have sought assistance from the UniSQ Student Guild Advocacy Office from have concluded or until such time that I revoke my authority in writing. Should I require the Advocacy Office to Act on my behalf, I understand that I will be required to complete an Authority to Act PreviousSubmit