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Send student grievance form via email, link, or fax. You can also download it, export it or print it out.
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Click ‘Get Form’ to open the student grievance form in the editor.
Begin by entering your personal information: Student Name, Student ID, Mailing Address, Email, and Phone number. Ensure all details are accurate for effective communication.
Provide your signature and the date to authenticate your submission.
Identify the grievance against a specific grade or action by filling in the Name and Department of the individual involved.
Indicate if your grievance is based on unlawful discrimination, harassment, or retaliation by selecting 'Yes' or 'No'.
If applicable, complete the grade grievance section with Course details, Term/Year, and Grade Received.
For non-grade grievances, briefly state your complaint in the provided space and attach additional sheets if necessary.
Specify the grounds for your grievance (e.g., clerical error) and attach any supporting documents as needed.
Clearly outline the remedy you seek regarding this grievance.
Provide narrative data to support your claim, including relevant names, dates, and records. Attach these on separate sheets.
Ensure all required signatures are obtained from faculty members and department chairs. If unable to obtain a signature, document your efforts on a separate sheet.
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A complaint is defined as a difference or dispute between a student and a faculty or staff member related to matters such as grades, assignments, attendance,
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