Student Grievances

Background Information

Your full name:

Your phone number:

Your email address:

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Please select your division(Required):

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Please select the descriptor that best matches.

Date of incident(Required):

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Time of incident:

Location of incident(Required):

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Specific location:

Involved Parties

Name or Organization

Select Role

ID Number (if known)

Phone number (if known)

Email address (if known)

Questions

What is the nature of this report?(Required)

Grievance about college process Grievance about college personnel Grievance about another student

You must make at least one selection.

Describe the grievance.(Required) This field is required.

Supporting Documentation

Please upload any relevant documents such as scanned copies of student statements, evidence, photos, etc. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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Background Information

Involved Parties

Questions

Supporting Documentation

Submission