Student Complaint Form

Additional information about this form may be found on the Dean of Students web page.

Student Complaints

Nature of Complaint*
- Academic (faculty/student, registration, etc.)
- Personnel (problem with staff, administrator, etc.)
- Student Services (Financial Aid, Campus Living, Student Accounts, Food Services, etc.)
- Issue with Another Student
- Other
If other, please provide a brief description.
Are you an employee that is reporting this information on behalf of a student?*
- Yes
- No
Employee Information
Employee Name
First Last
Employee Department/Unit/School
Employee Phone Number
Employee Email Address
Incident Information
Student's Name
First Last
Student's T#
Please enter a T before the numbers.
Date of Incident*
Date Format: MM slash DD slash YYYY
Phone
Email
Description of Complaint
Have you already spoken with someone regarding this Complaint?
- Yes
- No
To whom did you speak?
Please upload any documentation you would like to provide:
Drop files here or

Accepted file types: jpg, gif, png, pdf, .