020 8266 4000 COMPLIMENT AND COMPLAINT FORM FILL OUT THE FORM BELOW AND WE’LL BE IN TOUCH Please fill in as much information as you can. The more information you can give us, the more our experienced staff will be able to help you. NAME EMAIL ADDRESS ADDRESS POSTCODE STUDENT ID AGE Under 16 16-18 19-24 24+ GENDER Female Male Transgender MODE OF STUDY Full time Part time ETHNICITY African Arab Bangladeshi Caribbean Chinese Gypsy or Irish Traveller Indian Pakistani White British White Irish White Other Mixed White & Asian Mixed White Black African Mixed White Black Caribbean Other Black Background Other Asian Background Other Mixed Background Any Other Not Provided NAME OF COURSE SITE OR CAMPUS Edmonton Green Colindale Southgate Wood Street PLEASE NAME ANY MEMBER OF STAFF YOU HAVE SPOKEN TO ABOUT YOUR CONCERNS BEFORE MAKING THIS FORMAL COMPLAINT. DETAILS OF COMPLIMENT OR COMPLAINT WHAT OUTCOME WOULD YOU LIKE? DATA PROTECTION STATEMENT By submitting this form I consent for the personal information about me provided on the form to be held, recorded and processed by Barnet and Southgate College. This may include information of a sensitive nature. I understand that the information will be treated in confidence and used internally for specific purposes as laid out in the College's Data Protection Policy. My consent is conditional upon Barnet and Southgate College complying with its obligations and duties under the Data Protection Act 1998. If you have any queries or would like a copy of our Data Protection Policy write to: Data Controller, Barnet and Southgate College, High Street, Southgate, London N14 6BS. SUBMIT 020 8266 4000 © 2020 Barnet and Southgate College