JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The REC - Concerns or Complaints
Please complete all fields below. Upon receipt of this form, The REC will contact you to follow up with your concern or complaint.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Are you a Southeastern student or a non-student member?
*
Student
Non-Student
If a student, please provide your w#:
Your answer
Please provide a brief summary of your concern or complaint:
*
Your answer
How would you like to discuss this concern or complaint?
*
We want to make sure you have the chance to discuss this issue further with a member of our professional staff. Please let us know how you'd like to continue this conversation:
Email
In-person meeting
Phone
Please provide the appropriate contact information for us to reach out to you (phone number and/or email address):
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Southeastern Louisiana University.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Help Forms improve
Report