Student Concern Form

 

 

                Date*:      

               

                Name*:                   

                

                 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.