College of Public Health students graduating

Student Grievance Form

The purpose of the student grievance procedure is to provide a process for resolving student complaints against faculty and staff members. This procedure applies to all student complaints, including but not limited to academic issues, student services or administrative concerns, or matters involving any form of discrimination or harassment. Grievances involving academic issues are limited to final course grades and satisfactory completion of instructional program requirements.
Complaint Summary
Provide a brief description of the complaint.
Please indicate the date when the incident occurred.

If you answered yes to the question above, who did you address the issue with?

Resolution Requested
Provide a brief description of how you would like for this complaint to be resolved.
Faculty or Staff Member Information
Please provide the name, office location, telephone, and email of the faculty or staff member against whom this complaint is filed.
Student Information (Optional)