We have created a simple and fast online form that you or anyone you know can access and submit online 24/7 in regards to Office of the Ombuds consultations and/or referrals. This form provides a submitter with a way to quickly and easily get a consultation/referral message to the Office of the Ombuds so that we are best able to serve your needs and our students needs.
We will serve you by providing information and assisting you with exploring various options. In a consultation we will only speak with you about your questions and/or concerns. By submitting a consultation we will contact you within 1 business day to discuss the information that you submit below.
We will serve the individual to whom you are referring below by providing information and assisting that individual with exploring various options. In a referral we will not contact you, but rather reach out directly to the student within 1 business day to discuss how our office can best assist them with their current questions and/or concerns.
If you selected "Referral" above please follow this additional step, after you have submitted the below information, to ensure that the hand-off of the individual listed below is as seamless as possible.
We ask that you please email the individual to let them know that you are concerned about their issue and are referring them to the Office of the Ombuds for assistance with resolution. You are encouraged to provide them with the Office of the Ombuds contact information and the Ombuds Intake Form link below.
In this email to the individual, please cc: email@example.com
Office of the Ombuds
248 Student Center
Click to submit an Ombuds Intake Form:
Submitor Phone Number
Name of Invidivual
Phone Number of Individual
Email of Individual
E# of Individual
Description of Your Concerns
Please provide as much information as possible about your concerns including dates, times, and names of individuals involved.
Your Recommended Resolution
If you have a resolution that you would like to recommend for this case please include that information here:
If you have any documentation that you would like to include with this submission please attach those files here:
Send me a copy of my responses
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