Grievance Assistance Form

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Student Information:

Name:

Student ID:

Phone number:

Email address:

Physical Address:

Details:

Semester and Year of event: This field is required.

People and/or office involved in the grievance: This field is required.

Briefly describe the event(s) about which you wish to file a grievance:(Required) This field is required.

Supporting Documentation:

Please attach any supporting documentation you would like reviewed with your grievance. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Student Information:

Details:

Supporting Documentation:

Submission