Student Complaint Form

Please use the Student Complaint Form for concerns or issues related to matters that require administrative assistance.
Keep in mind that this form is not for academic grievances or TITLE IX concerns.

Case ID

First Name(Required)

Last Name(Required)

Student ID(Required)

Phone(Required)

Email(Required)

Complaint Type(Required)

Incident Details (Include date & time)(Required)

What attempts have you made to resolve this complaint?(Required)

Additional Details

What resolution would you consider fair? What resolution do you seek?

Please add any additional information you would like to provide.

Is there any person who you do NOT want to be told of your complaint? (Keep in mind that it may be difficult to resolve if those involved cannot be asked to explain or respond). NOTE: RETALIATION AGAINST A STUDENT FOR MAKING A COMPLAINT IS ABSOLUTELY PROHIBITED, AND WILL BE CONSIDERED A SERIOUS VIOLATION OF PROFESSIONAL RESPONSIBILITY.

Student Complaint Form

Please use the Student Complaint Form for concerns or issues related to matters that require administrative assistance. Keep in mind that this form is not for academic grievances or TITLE IX concerns.

Additional Details

Please use the Student Complaint Form for concerns or issues related to matters that require administrative assistance.
Keep in mind that this form is not for academic grievances or TITLE IX concerns.