Student Complaint Form
Please provide detailed information about your complaint and any additional relevant details.
First Name
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Last Name
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Preferred Name
Student ID
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Stephens Email Address
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example@stephens.edu
Street Address 1
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Street Address 2
City
*
Postal / Zip Code
*
Please state your complaint in as much detail as possible.
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Include the names of persons, locations, and dates involved. If this complaint is against specific individuals, please list their names and titles.
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Why do you think the complaint was not able to be resolved in your prior attempts?
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Is there any additional information you want to provide?
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Signature
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Please verify that you are human. (reCAPTCHA helps prevent automated form spam).
*
Submit
Submit
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