AMS Advocacy Intake Form

Name(Required)

First Last

Preferred Name, if different

Pronouns

Email(Required)

Phone(Required)

Format: (604) 123-4567

UBC Student Number(Required)

Faculty(Required)

Other

If you selected Other from the drop down, please indicate your faculty here

Student Type(Required)

Domestic Student

International Student

Case Type(Required)

Academic Misconduct

Academic Standing

Other Academic Dispute

UBC Student Housing

Off-Campus Tenancy

Accessibility

Non-Academic Misconduct

Other Non-Academic Dispute

Please provide a brief description of your issue, any steps taken, and desired outcome(Required)

When is your next deadline or meeting?(Required)

How did you hear about AMS Advocacy?(Required)

Online Search

UBC Referral

Social Media

Word of Mouth

Other

Would you benefit from any form of accommodation?

Please upload any documents relevant to your case, such as emails, reports, lease agreements, etc.

If you have multiple or larger files, please upload as a .zip.

Drop files here or

Accepted file types: doc, docx, eml, pdf, jpg, jpeg, png, zip, Max. file size: 6 MB, Max. files: 10.

Confidentiality Notice and Working Agreement(Required)

AMS Advocacy services are confidential. Your personal information will never be shared without your express permission unless:

disclosure is required or authorized by law, or
in AMS Advocacy’s sole discretion, compelling circumstances exist that could affect someone’s health or safety.

I understand and agree:

AMS Advocacy staff are not lawyers and do not provide legal advice.
AMS Advocacy will not handle my case on my behalf and it is my responsibility to make inquiries, draft documents, and follow up with relevant parties.
AMS Advocacy cannot act as my agent or representative at a university hearing. I must personally appear and speak for myself. With sufficient notice, AMS Advocacy can attend the hearing as a support person.
AMS Advocacy may refuse assistance when services are being used for an improper purpose or there is no reasonable prospect of success.
AMS Advocacy may share anonymized and aggregated information (e.g. faculty, issue type) in public reports.

To indicate your understanding and agreement, please type your full name below.