Student Non-Academic Grievance/Complaint Form

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Student Non-Academic Grievance/Complaint Form

Please complete this non-academic grievance/complaint form to notify the Executive Director of the Department of eLearning about any non-academic challenges you are experiencing. This document will take about 5 minutes to complete. Thank you!

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Name of Student/Grievant

Your answer

Student's ID Number

Your answer

Student's Email Address

Your answer

Student's Contact Number

Your answer

The Best Time and Day to Contact the Student Regarding the Grievance

Your answer

Please explain your grievance in specific details.

Your answer

Please list the names of all individual involved.

Your answer

Please provide any additional details.

Your answer

Submit

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