Non-Academic Student Complaint Form

You should always make the effort to talk directly to the person/department identified as the cause of your complaint PRIOR to submitting this form.

A non-academic student complaint is one that relates to non-instructional incidents or concerns; including the following: a difference or dispute between a student and University personnel; a service issue regarding University policies; or unfair treatment.
This form is used by the student to submit a formal complaint that has not been resolved satisfactorily with the faculty, staff, student, and/or others involved.
Please complete all fields so your complaint may be directed to the proper University officials. All complaints must be submitted electronically by using this form.

Submitted forms are processed by the Dean of Students Office.

Background Information

This is the description of your section break.
Legal Name Legal Name * First Last
Student ID Number *
Phone Phone * - ### - ### ####
Email *
Incident Information
Date of Incident Date of Incident * / MM / DD YYYY
Other date(s)? Other date(s)? / MM / DD YYYY
Please explain, in detail, the incident, your issue, and/or your concern: *
Have you spoken with anyone regarding your issue/concern? *
Who did you speak with regarding this issue/concern? *
What was the outcome of this conversation? *
What results, outcomes, or solutions are you anticipating as a result of filing this formal complaint/grievance? *
If you would like to attach any supporting documentation, please do so here:

Attach Files

Non-Academic Student Complaint Form

Non-Academic Student Complaint Form

Background Information

Incident Information