REVIEW OF ASSESSMENT RESULTS E-FORM

Instruction: For use by students who request a formal review of assessment results and are unable to resolve it through an informal resolution process as per the Student Review of Assessment Results Procedures.

Section 1: Student details

First name *

Last name *

Student ID number *

Email address *

Residential address in Australia *

Phone/mobile number *

Section 2: Grounds and details for review request

Current course of study *

Assessment result to be reviewed *

Have you discussed the issue with the subject lecturer (i.e. informal resolution)? *

Yes

No

Date discussed * +

You may request a review of assessment results in the following scenarios ONLY (please select ): *

Please provide a brief summary of the discussion outcome *

Please provide a summary of events or details of your request *

Subject/s codes *

Assessment number (as per subject outline) *

Assessment due date (by week number as per subject outline) *

Assessment result date *

What are you hoping to achieve as an outcome of this review (please be specific) *

You are encouraged to seek feedback from the relevant lecturer first, and therefore you will not be able to lodge this request at this stage. Please contact your lecturer for further information.

If you are still unhappy with the outcome of the informal discussion with your lecturer then please access this form again.

As per the Student Review of Assessment Results Procedures, you must submit this form within 10 working days from the notification of assessment results.

Section 3: Supporting documentation

Please upload supporting evidence (this MUST relate to section 2 above) *

Section 4: Declaration

Declaration statement * 🛈

I have read and understood the process and requirements of the Student Review of Assessment Results Procedures.

I declare that the information provided by me on this form is true and correct.

I agree and give my permission to the Institution to the release of personal information for the purpose of resolving this request.

International College of Management, Sydney Pty Ltd ACN 003 144 045 ATF The ICTHM Trust ABN 54 174 259 919, trading as International College of Management, Sydney and Aspire Institute, Aspire English, International Sport College of Australia CRICOS Provider Code: 01484M, TEQSA ID: PRV12025