Student Grievance - Request for Meeting
This form is to be used in accordance with the InterCoast Student Grievance Policy located in the School Catalog.
Please note that you must have already utilized Step 1 and Step 2 of the policy in order to request a committee meeting on your grievance.
If these steps have not been followed you will be directed back to the Policy and will need to follow the Steps before a committee meeting can be scheduled.
Student Last Name
Student First Name
Program of Study
Student Current Phone Number
Student Email Address
Date of Incident
When did the incident happen?
Post Written Grievance Here
Please include full details of incident and those involved. Please include what resolution you would like to see.
Step 1 Completed?
Did you meet with Individual?
Step 2 Completed?
Did you meet with Program Director or Campus President?
Yes, Met with Program Director
Yes, Met with Campus President
No, I have not completed this step
Please attach any documentation that you would like to provide regarding the incident.
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