Division of Student Life Feedback / Complaints

             
Department      
             
Last Name   A value is required.   First Name   A value is required.
             
Local Address   A value is required.
             
Phone Number   A value is required.Invalid format. [XXX-XXX-XXXX]   Student ID #   A value is required. [000-XX-XXXX]
             
Email   A value is required.Invalid format.
             
Please describe the nature of your complaint including any prior action taken to date:
             
A value is required.

I acknowledge that all of the requested information has been completed accurately. Additionally, I understand that a central division representative will route my complaint to the appropriate department and that the information I supplied may be viewed by staff members outside of the selected department.