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Non-Academic Complaint Form
Non-Academic Complaint Form
Full Name
MEID
Student ID
Phone Number
Email Address
Which department is your feedback or concern regarding?
Which department is your feedback or concern regarding?
- None -
ACE Program
Administration and Records
Advising
Athletics
Bookstore
Career Services
Computer Commons/Testing Center
Counseling
Disability Resources and Services
Facilities/Grounds
Financial Aid
Cashiers/Fiscal Services
Wellness
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Recruitment and Outreach
Student Life and Leadership
Student Success Programs/NSO
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Welcome Center
Other/Unsure
Please write the department. If Unsure, write Unsure.
Have you contacted the department manager about your concern/complaint?
Yes
No
What is the nature of your feedback? (check all that apply)
Customer Service Complaint
Excessive/Unexplained Service Delay
Insufficient or Incorrect Information
Lack of Follow-Up
Policy Concern
Violation of Rights
Other…
Enter other…
Please describe your concern in detail, including any dates, times, names of persons involved, or other details that will be helpful to our understanding of the concern and potential resolution.
Have you previously submitted feedback?
Yes
No
If “Yes,” please provide additional details, including: With whom did you speak, What was the approximate date, and What information was provided?