Contact Advocacy

First Name

Last Name

Preferred Name

Email

Do you have any safety concerns about us contacting you by email (i.e. due to family or intimate partner violence)?

Phone Number

Do you have any safety concerns about us contacting you by phone (i.e. due to family or intimate partner violence)?

Domestic or International student

Do you have any disabilities you would like us to know about?

Please let us know if we need to make any arrangements for your access to the service.

Student Number

If you don't have a student number - please enter "00000"

Type of study

Do you have a deadline?

e.g. you need to respond to an allegation or uni notice, or lodge an appeal by a certain date. PLEASE SPECIFY THE DATE if you know. This will help us prioritise effectively. If there is no deadline please specify this in your enquiry.

Faculty

Where did you hear about us?

How would you prefer to receive advice from us?

Email Phone In person Zoom

Please choose all that apply. Please note that this form does not create an appointment - we will be in contact via email to coordinate how we may best provide assistance.

Which process or part of the University does your matter relate to?

This helps us understand what sort of assistance you may need.

Does your matter concern a complaint about a particular aspect of the University?

What part of the University does your matter relate to? If you don't know, select "Not sure".

Please describe your issue

Please provide as much detail as possible about your issue.

I agree

The Advocacy Service is a department of the University of Melbourne Student Union (UMSU). The UMSU Advocacy Service manages personal and health information in accordance with the Information Privacy Act 2000 (Vic), the Health Records Act 2001 (Vic), and the Student Union Advocacy Service Confidentiality Policy.

The information that we collect assists us to confirm your student status, contact and assist you, and is also aggregated into non-identifying statistics that facilitate our internal planning and review processes. We hold information on digital and paper based records, and take all reasonable steps to ensure that the information is accurate and complete and protected from misuse, loss, unauthorised access or disclosure.

We will not disclose personal or health information to anyone without your permission, or unless permitted, or required by law. Should you wish to access information that we hold about you at any time, you may request access by speaking to the Manager, Advocacy & Legal. The information that we collect is stored securely for seven years and then destroyed. Our privacy policy is available on request.

By submitting this form, you agree to be bound by this statement.