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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)
Phone
Name(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)
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