MPI Student Feedback Form

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The purpose of this form is to provide a channel for students to give constructive suggestions/feedback to enhance learning experience at MPI.

(The information contained on this form will be held confidential to the extent possible. Information may be shared with college officials in order to conduct a thorough investigation)

Email *

Date of complaint *

Today Date

YYYY

Question 1. *

Areas of concern/ complaint/ feedback. (Please check on one of the following boxes. You can submit a new form if you have more than one issue):

Poor teaching/ supervision

Misleading information in prospectuses or in advertising or promotional materials

A failing in academic or non-academic services

Inadequate facilities

The behavior of a member of MPI staff

Other

Required

Question 2. *

Describe in detail the areas of concern/ complaint/ occurrence:

Question 3.

Your suggestion(s) to improve the issue(s) raised:

LET US HELP YOU! *

I agree to be contacted directly by Student Affairs Department (either for further details or for further follow-ups regarding the status of the issue concerned)

Required

Student Name: *

Contact No: *

Declaration *

I declare that the details furnished above are true and correct to the best of my knowledge and belief. In case any of the above information is found to be false or untrue or misleading or misrepresenting. I am aware that it may result in disciplinary actions in accordance with college disciplinary policies.

Required

FOR OFFICE USE:

Date of receive - Date of acknowledgement - Remark

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