Student & Community Complaint Form
Current Status
First Name
Last Name
Student ID
Email
Cell or Phone Number
Date the Complaint Occured
Select a Complaint Type
Academic Complaint
Other
Facility Complaint
Student Services Complaint
General Complaint
Bias Incident Complaint
How was the bias demonstrated? Please check all that apply.
Details of the Complaint
Resolution
Documentation
Please attach any evidence/documentation you wish to provide
Other InformationIs there any other information you wish to provide prior to submission?