Lewis University Student Complaint

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Lewis University is committed to a policy of fair treatment of its students in their relationships with fellow students, faculty, staff and administrators. Students are encouraged to seek an informal resolution of a dispute directly with the faculty or individual(s) involved when possible. For matters where a resolution is not feasible, a student or a Lewis faculty or staff member on their behalf, may make a formal complaint. Other stakeholders (e.g. parent, community member, alumni) may use this form to submit a complaint, providing their contact information in the student information sections. Please be assured that no adverse action will be taken against a student who files a formal appeal or complaint.

For the complete Student Complaint policy and process, see lewisu.edu/studentcomplaints.

Name of Person Submitting Complaint: *

Institutional Relationship: *

Student's Name (if submitted by a faculty or staff)

Only fill out this section if you are a current Faculty/Staff member

Student ID Number:

Please enter your L number

Student Email Address: *

Student Phone Number: *

Please include your area code

Contact Student Using: *

Phone

Required

Date of Occurrence: *

YYYY

Summary of Complaint *

If complaint is submitted by staff/faculty member, include any actions taken in response to the complaint.

What is the desired resolution you are seeking for this complaint? *

Do you have a file to upload? *

Please attach any documents related to this complaint

Yes

Items with an asterisk are required fields

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