Student Non-Academic Complaint Form

Student Non-Academic Complaint Form

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Student Non-Academic Complaint Form

The student complaint/grievance procedure is designed to provide a prompt and equitable means for resolving non-academic student complaints/grievances. The complaint/grievance procedure may be initiated by a student, group of students or potential student who reasonably believe that they have been subject to unjust action or denied rights that adversely affect their status, rights, or privileges as a student.

Background Information

MM slash DD slash YYYY
Time of incident

Involved Parties

Name of Organization
Date of Birth
Campus Address
Press the (+) to add another party.
MM slash DD slash YYYY


The Complaint/Non-Academic Grievance Form should be submitted immediately. This generally ensures the availability of all parties involved in the complaint. When completing the Non-Academic Complaint/ Grievance Form, the reporter is expected to respond to all of the following questions as it relates to the complaint/grievance:
What is the best way to contact you?(Required)

Supporting Documentation

Drop files here or
Max. file size: 499 MB.