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Student Development Complaint Form

You can file a complaint using our Online Complaint Form. Complaints that are filed on-line receive an immediate acknowledgement from the Office of the Vice President for Student Development. We may contact you by phone or email for further details. In addition, you will be contacted to confirm the information you sent. Please provide as much information as possible.

Fields preceded by an * are required.

* Last Name:

* First Name:

Sex:
Female
Male
 





Address:

Phone Number:

* Email:

Date of Incident:

Time of Incident:

Location of Incident:

* Complaint Summary:

(please be specific and identify any individuals)



This form will be sent to the Office of the Vice President and Dean of Students for Student Development.  To contact the office directly, please call (937) 229-3311.