Formal Grievance Form
Current Status
First Name
Last Name
Student ID
Address
City
State
Zip
Email
Semester Grievance Occurred
Date of the Grievance
Select a Grievance Type
Academic Grievance
Other
Facility Grievance
General Grievance
Student Services Grievance
Bias Incident Grievance
How was the bias demonstrated? Please check all that apply.
Details of the Grievance
Informed MATC StaffHave you contacted a MATC staff about your complaint? If yes, whom? What were the results?
Resolution
Documentation
Other InformationIs there any other information you wish to provide prior to submission?