Student Survey Approval Form

Instructions

This form is an application for approval to survey SCU students under the university’s Student Survey Policy. Survey owners should complete and save this form, then forward to the appropriate survey approval authority. If you have queries about this form, email the BIQ team statistics@scu.edu.au.

1. Survey name

Insert title of the proposed survey here

2. Survey purpose

Briefly outline the purpose of the survey here

3. Survey approval

The survey owner is a: (Select one only) ☐ SCU staff member ☐ SCU staff member (on behalf of an external organisation or individual) ☐ Educational partner ☐ University agent ☐ Coursework student (survey is a course requirement) ☐ Coursework student (survey is not a course requirement) ☐ Higher Degree Research student	Which students will be asked to participate? (Select all that apply) ☐ Prospective SCU students ☐ Current students ☐ Alumni ☐ Former students whose studies are incomplete

Click the button below to determine the approval authority required for this survey based on the details above.

The approval authority for this survey is:	Please check one survey owner, and all participants that apply

4. Survey duration

Survey start date: dd/mm/yyyy	Survey finish date: dd/mm/yyyy
Additional written permission is required if the survey will overlap with official surveys. Review the protected dates here: https://www.scu.edu.au/staff/business-intelligence-and-quality-biq/student-feedback/
Will this survey be conducted during the Protected Period?	Select a response
If No, go to Part 4. If Yes, email the Vice President (Students) requesting permission to conduct a survey in the protected period before proceeding. ☐ I confirm that the Vice President (Students) has granted written permission to conduct this survey during the Protected Period

5. Informed participation

I confirm that the invitation to survey participants provides information on:
☐ The purpose of the survey ☐ The identity of those conducting the survey ☐ What the data will be used for ☐ Who will have access to the data	☐ Any risks or benefits involved in participating ☐ That participation is voluntary and participants have the right to withdraw at any time ☐ Whether participants will be informed of the survey outcomes

6. Privacy and code of conduct

Proposals to conduct surveys must be supported by a statement that the Survey Owner understands and will comply with the Privacy Policy and all relevant data management and storage obligations.
☐ I confirm that this survey proposal complies with the university’s Privacy Policy ☐ I confirm that this survey proposal complies with all relevant data management and storage protocols Surveys must also comply with the Code of Conduct and not encourage discrimination, bullying or other behaviours deemed inappropriate by the University ☐ I confirm that this survey proposal complies with the university’s Code of Conduct

7. Incentives

Are incentives or prizes offered for participation?	Select a response
If No, go to Part 5. If Yes, confirm that the terms and conditions: ☐ Comply with any legal and ethical obligations (seek guidance from the University’s Legal Office if unsure) ☐ Are prominently communicated either in the request for participation or at the beginning of the survey

8. Survey owner sign-off

☐ I confirm that this student survey complies with the university’s Student Survey Policy and request approval. Survey owner signature: ____________________________________ Survey owner name: _______________________________________

9. Survey approval

☐ I approve the conduct of this student survey. I am satisfied that the survey owner understands and will comply with all relevant privacy, data management and storage obligations. Survey approver signature: _________________________________ Survey approver name: ___________________________________

A copy of the approved survey approval form should be emailed to the Office of Business Intelligence and Quality via statistics@scu.edu.au.