Student Complaint Form Student Complaint Form Your full legal name (as enrolled): First Middle Last Preferred Name: First Last Which areas does your complaint fall under?(Required) Student Affairs Academic Affairs Business Affairs Athletics Mailing Address Street Address City State / Province / Region ZIP / Postal Code Your Email Address(Required) PhoneName(s) of the person(s) involved:(Required)First date on which the events or issues occurred(Required) MM slash DD slash YYYY Please describe your complaint in detail. Include the names of persons, locations, and dates involved. If this complaint is against specific person(s), please list their names and titles(Required)NOTE: RETALIATION AGAINST A STUDENT FOR MAKING A COMPLAINT IS ABSOLUTELY PROHIBITED AND WILL BE CONSIDERED A SERIOUS VIOLATION OF PROFESSIONAL RESPONSIBILITY.What attempts have you made to resolve this complaint up to now? Please state who you contacted and what transpired.(Required)CAPTCHA
