Student Complaint Form
Step 1 of 2: Submit
Student Name
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Student ID Number
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Mailing Address
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City, State, and Zip Code
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Phone Number
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Student's Email Address
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Complaint Information
Check which category your complaint falls under (one Student Complaint Form is to be submitted for each complaint.
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Select an option:
Academic
Disciplinary
Discrimination
General or other
State the nature of your complaint (please be specific by including the name of the department, employee(s) involved, the date of the incident and attach any supporting documentation.
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Upload additional documentation regarding your complaint.
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List actions (if any taken) on your part to resolve the complaint.
Upload additional documentation if necessary.
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What specific actions do you believe need to take place in order to resolve your complaint?
Upload additional documentation if necessary.
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All reports submitted through this online reporting system will be investigated, only reports to the confidential advisor will not initiate college grievance procedures.
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indicates required fields