Student Complaint Form

Register a Complaint

Step 1. Student Information

Indicates all required fields
First Name:
Last Name:
Middle Initial:
Email:
We respect your privacy.
Phone:   xxx-xxx-xxxx
Street Address:
City:
State/Province:
Postal Code:
 
Student ID#:
Student Type:

Step 2: Complaint Information

Department, office, or individual with whom you have a complaint:
Describe the complaint:
Date(s) the event Occurred:
Time(s) the event Occurred:
Place(s) the event Occurred:
Complaint Category:


Step 3: Additional Information

Have you communicated with staff regarding your complaint?:
Please describe your requested resolution for this complaint:
How did you find out about the Student Complaint process?:
Northeast Community College will not allow any form of retaliation against individuals who file a complaint, or who cooperate in the investigation of the report. To the extent possible, the confidentiality of the report will be maintained.

Step 4: Security Check

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