Student Academic Grievance/Complaint Form
Please complete this academic grievance/complaint form to notify the Executive Director of the Department of eLearning about any academic challenges you are experiencing with the the staff of the Department of eLearning or the instructor of your online course.  This document will take about 5 minutes to complete. Thank you!
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Name of Student/Grievant
Student's ID Number
Student's Email Address
Student's Contact Number
The Best Time and Day to Contact the Student Regarding the Grievance
State the Nature of the Grievance
Submit
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