FSPH Student Feedback Form
Please use this form to share any feedback about FSPH with the Public Health Student Association board and Office of Student Services. We will review responses on a weekly basis and work with Fielding staff and faculty as needed to address your concerns and ideas. You may choose to remain anonymous, but if you would like to receive follow-up from the PHSA board or a member of the OSS team on the status of your feedback, please provide contact information. All responses will remain confidential.

Please note, while we welcome all feedback, some concerns may be better addressed directly at the department level. Follow this link for the full list of FSPH contact information and an infographic outlining who to contact for specific concerns: https://bit.ly/3Jm0eLE

Additionally, please note that this is NOT the FSPH Student Grievance Process, where students may raise a complaint about unfair treatment at UCLA. A few examples of common grievances students may have include: academic grades, harassment by other students, harassment by faculty or staff, discrimination, and a violation of university policy by other students, faculty, or staff. You may file a grievance anonymously or confidentiality at this link: https://tinyurl.com/FSPHStudentGrievance

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Name
E-mail
Year *
Department *
What feedback do you have for PHSA to share with Fielding leadership to improve our school community? *
Have you contacted anyone else about this issue? *
Who else have you contacted/plan to contact, if applicable?
Please provide the name of the person(s) you've contacted, if comfortable, to allow us to follow up. Please also include the date of contact.
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