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
First Name *
Last Name *
Are you a Southeastern student or a non-student member? *
If a student, please provide your w#:
Please provide a brief summary of your concern or complaint: *
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:
Please provide the appropriate contact information for us to reach out to you (phone number and/or email address): *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southeastern Louisiana University.