Formal Student Grievance Form

Prior to submitting a formal grievance, the complainant(s) must attempt to obtain a resolution through the information process. A formal grievance must be submitted no later than thirty (30) business days after the notice of informal complaint resolution decision.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Format: (###)###-####
Program of Study*
Names of Parties Involved:*
Nature of the Grievance:*
Please describe the reason for submitting a grievance and explain, in detail, all circumstances relating to the grievance. All information pertaining to your appeal will be kept confidential
Attempt(s) at Informal Resolution:*
Please explain, in detail, all attempts at informal resolution and include and documentation regarding these attempts.
Desired Outcome:*
Please explain, in detail, your desired outcome.