Complaints & Concerns
Our goal is to ensure that all employees and students are provided with a safe environment and receive all programs and services to which they are entitled.  Thank you for bringing your complaint/concern to our attention so that we can properly investigate the complaint and work towards equitable resolutions.
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What is the basis of your complaint?  Please check all that apply.
Please provide your name and contact information so that we may properly address the complaint/concern.
When did the events that led to your complaint/concern occur? *
Where did the conduct occur? *
Are you filling out this form for yourself or for someone else?  (please identify the person if you are submitting on behalf of someone else.) *
Who or what entity do you believe is responsible for the conduct? *
Please provide the names of any witnesses to the conduct.
Have you discussed this matter with any of the witnesses?  If so, who?
Please describe what happened in detail; be as specific as possible.
Have you discussed this matter with anyone else?  If so, who?
What would you like to see happen as a resolution to your complaint/concern?
I agree that all of the information on this form is accurate and true to the best of my knowledge and belief.  (Please check both boxes.) *
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