Complaint and Misrepresentation Form | South Mountain Community College

This form is for non-instructional grievances only.

For instructional grievances and to avoid delays, students who feel they have been treated unfairly or unjustly by a faculty member with regard to an academic process such as grading, testing, or classroom assignments, please follow the S-6 Instructional Grievance Process found here: https://district.maricopa.edu/regulations/admin-regs/appendices/students/s-6

Full Name

MEID

Student ID

Phone Number

Email Address

Which department is your feedback or concern regarding?

Have you contacted the department manager about your concern/complaint?

Yes

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…

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

If “Yes,” please provide additional details, including: With whom did you speak, What was the approximate date, and What information was provided?