Background InformationToday's Date:(Required) MM slash DD slash YYYY Name:(Required) First Middle Last Phone:(Required)Email:(Required) Nature of this reportStudent AffairsAcademic AffairsHousingFinancial AidEnrollment / AdmissionsAdvisingPolice DepartmentGeneralDate of Incident(Required) MM slash DD slash YYYY Location of IncidentStudent AffairsAcademic AffairsHousingFinancial AidEnrollment / AdmissionsAdvisingPolice DepartmentGeneralInvolved PartiesQuestionsPlease explain your complaint/issue. (If your complaint is an academic complaint please be sure to list the professor's name, the course name, and ....)(Required)Are there any other relevant parties involved? If so, please list them.(Required)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. Δ
