Student/Visitor Complaint Form

Please describe the nature of this complaint, parties involved, and steps you have already taken to resolve this issue below. The form will be routed to the appropriate administrator who will respond within 3 business days. Please be sure to provide contact information in the areas provided.

1. Recipient Student to student issuesFaculty or class issues (General Education/Transfer Courses)Faculty or class issues (Career/Technical Courses)Faculty or class issues (Health Professions)Faculty or class issues (Community Education or Business Education)Business Office issues (tuition, fees, work study disbursements)Financial Aid or Veteran Services issuesStudent Services issues (Athletics, Admissions, Advising, TRIO/SSS, Disability Services Office, Student Activities)Facilities issues (classrooms, parking)Campus Safety/Security issuesTechnology Services issues (student email, Canvas, SOAR)Learning Commons, LC Tutoring Center, Adult Ed., VITAL issuesOther issues
2. Student ID @12345678
3. Name

   1. First
   2. MI
   3. Last
4. Phone
5. E-Mail Address
6. Description of complaint including parties involved, dates, etc.
7. Please list the steps you have already taken to resolve this complaint