Student Complaint Form
PIU's complete Student Complaint Policy can be found here: https://www.piedmontu.edu/policy
Student Information
Student Name
Your answer
Student Email Address
Your answer
Student Academic Year
Complaint Information
Date of Incident
MM
/
DD
/
YYYY
Location of Incident (if applicable)
Your answer
Please provide a detailed explanation of your complaint.
Your answer
What steps, if any, have you taken to resolve the complaint? Please include persons whom you have contacted and pertinent dates.
Your answer
To assist in the resolution of this complaint, please provide an explanation of your desired resolution.
Your answer
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