ASA Advocacy Form
CONFIDENTIAL STUDENT CONTACT FORM: If you would like assistance from the Advocacy service, please complete all fields on this form, and our advocate will be in touch.
Last/Family Name *
Your answer
First Name *
Your answer
Student ID# *
Your answer
Are you male or female? *
Email Address *
Your answer
Mobile or phone number *
Your answer
Are you a Domestic or International Student? *
Are you a Migrant to New Zealand? *
If you are a migrant to NZ, how long have you had NZ residency?
What is your country of origin? *
Your answer
Are you currently enrolled as a student at Massey University? *
Are you studying full time, part time or limited full time status? *
Age *
Your answer
Are you an undergraduate or postgraduate student? *
What College are you studying in? *
Under which School are you studying? *
Your answer
Which campus are you studying at? *
Are you an Internal or Distance student? *
If you are a Distance student, what part of NZ do you currently live in?
Your answer
Are you a Class Advocate? *
Is this an ACADEMIC Issue? *
If this is an academic issue please specify: Paper Name & Number, Lecturer(s) and College name?
Your answer
Have you addressed your issue with University staff directly? Please tick departments you have contacted regarding this issue:
Do you have any comments about your contact with the university services above?
Your answer
Is this a WELFARE Issue? *
If this is a Welfare issue please specify what kind of an issue?
Is this a FINANCIAL Issue? *
Please be aware that if you are applying for financial assistance you may need to provide three months of recent bank statements and to fill out a SAP form
If this is a financial issue then please rate the urgency of your situation:
In one or two paragraphs please outline in further detail what the issue is: *
Your answer
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