Student Grievance Form

The purpose of the student grievance procedure is to provide a process for resolving student complaints against faculty and staff members. This procedure applies to all student complaints, including but not limited to academic issues, student services or administrative concerns, or matters involving any form of discrimination or harassment. Grievances involving academic issues are limited to final course grades and satisfactory completion of instructional program requirements.

Submissions to this form are reviewed by the Associate Dean for Academic and Student Affairs.

Please indicate the date when the incident occurred.
Resolution Requested
Faculty or Staff Member Information
Please provide the name, office location, telephone, and email of the faculty or staff member against whom this complaint is filed.
Student Information (Optional)