Complaints Form

1	Personal Details
Name:		Student No:		
Address:		Course:		
		School:		
		Year of study:		
		Full/Part time:		
Telephone Number:		Email Address:		

2	Please briefly outline your complaint

	

	
(Please continue on a separate sheet if necessary)	
3	What Action (if any) have you taken to deal with your complaint locally?

	
(Please continue on a separate sheet if necessary)	
4	Please give names of any staff members you have spoken to relating to the issues raised

	
(Please continue on a separate sheet if necessary)	
5	What would you like TrainPlus to do to resolve your complaint?

(Please continue on a separate sheet if necessary)	

I declare that the information provided on this form is a true and accurate account of circumstances surrounding my complaint.  I agree to TrainPlus making independent checks on the information provided and will co-operate with any investigations.  Where appropriate I will provide relevant documentation to substantiate my complaint.  I have read the information sheet and understand that I will not be penalised for making a genuine complaint, however any false or inaccurate statements may result in disciplinary action against me. 
	
Complainant Signature:		Date: