Academic Student Complaint Form

The student complaint policy is designed to help students address issues at the lowest level in the most direct and least taxing way possible.

Complaints Involving Faculty

Review the full policy and FAQs before completing this form.

Step 1: Discuss the situation directly with the instructor.

Step 2: Discuss the situation with the department chair.

Step 3: Complete this form. It will be routed to the associate dean for review/discussion.

Step 4: Discuss the situation with the school dean.

Note: You will be asked to resubmit your complaint if you do not complete steps one and two before submitting this form.

Please see the Student Complaint Website for details on other grievance processes.

First Name

Last Name

Student Email

Student Telephone Number

Date Submitted

mm/dd/yyyy

Student ID #

Please provide the following in regard to your complaint.

Person's Title and Name

School/Department

Person's Role at St. Edward's (Check One)

Faculty

Staff

Admin

Please provide an approximate time frame of the event or series of events causing the concern.

Please state your concern and how you believe you have been affected

Please state specific facts to support your concern.

Please state the resolution you seek.

Please describe any prior attempts to resolve this issue. Please include any documentation, if available.

File Attachments (Optional)

Please upload any documents may support your claim

Drop your files here

Send me a copy of my responses