Student Complaint Form Please complete the form below. Background InformationToday's Date:(Required) MM slash DD slash YYYY Name:(Required) First Middle Last Phone:(Required)Email:(Required) Nature of this reportAcademic AffairsAdmissions/Enrollment ManagementAdvisingFinancial AidGeneralResidence LifeSecurityStudent AffairsStudent Success Date of Incident(Required) MM slash DD slash YYYY Location of ReportInvolved PartiesPlease list your name or if you are filing on behalf of a student organization please list the name of the student organization.Name or Student Organization(Required)Name or Student OrganizationName or Student OrganizationQuestionsPlease explain your complaint/issue.(Required)(If your complaint is an academic complaint please be sure to list the professor's name, and the course name)What attempts have you made to resolve this issue?(Required)What resolution do you seek?(Required)Is there any other information you want to provide? (i.e. is there any person who you do NOT want to be informed of your complaint? Note: Retaliation against a student for making a complaint is prohibited and will be considered a serious violation of professional responsibility)Supporting DocumentsPhotos, video, email, and other supporting documents may be attached below. 50MB maximum total size.Upload DocumentsMax. file size: 50 MB.
