Student Complaint Form

Section 1: Personal Information

Please refer to the Student Complaints Policy before filling out this form. This form is to be used to submit a formal complaint after students have been unable to satisfactorily resolve with the faculty, staff, students or others involved. The Student Resolution Center provides conflict resolution services to assist students experiencing conflicts with faculty, staff, roommates, friends, family, and others.

Please complete all fields so your complaint may be directed to the proper university officials.

Complaints may be submitted anonymously; however, unless you include your contact information, CSU will be unable to investigate your complaint or respond back to you regarding the subject matter.

Your full legal name (as enrolled)
Preferred Name
Address
Preferred method of contact

Section 2: Information about your complaint

MM slash DD slash YYYY
For instance, is there any person who you do NOT want to be told of your complaint? (Keep in mind that it may be difficult to resolve if those involved cannot be asked to explain or respond). NOTE: RETALIATION AGAINST A STUDENT FOR MAKING A COMPLAINT IS ABSOLUTELY PROHIBITED, AND WILL BE CONSIDERED A SERIOUS VIOLATION OF PROFESSIONAL RESPONSIBILITY.
If attachments are necessary, please include as a .jpg or .pdf
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