Student Concern Form







                 ID#*:                   Classification*:                       Major*:            


                Residence Hall*:                    Room Number*:         


                Off-Campus / On-Campus Address*:       


                Email Address*:         


                 Cell No:* 





The Ombudsperson will listen to your concern(s), investigate reported complaints and work to attempt an equitable resolution. I understand that the Ombudsperson does not have the authority to make, change, or set aside administrative policy.