Student Complaint Form

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To initiate a complaint, a student must complete and submit this form. If you have any questions regarding the form or the status of a submitted complaint/inquiry, please contact Jazmyne Taylor at jtaylor@franklincummings.edu.

Contact information

First Name

Last Name

Phone

Street Address

City

US States

Country

I prefer to remain anonymous

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Description of complaint

Description of Complaint

Please describe your complaint/inquiry in detail. Include all relevant names or pertinent information.

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Course information

Course information (if relevant)

Course Title

Course Number and Section

Semester/Term

Year

Instructor's Name

Course Format

Online
Blended/Hybrid (On Campus and Online)
On Campus

Have you spoken with the relevant faculty member?

Have you spoken with the relevant department or program chair?

Describe any other action you have taken to resolve this matter.

Document upload text

If you have any documents you wish to submit to support your description of the situation, please upload them here. Documents cannot exceed 1MB. In your filename, please use only letters and numbers, with no special characters.

File Upload 1

File Upload 2

File Upload 3

Pages
- Student Complaint Form

New Student Portal +

Contact information

Description of Complaint

Course information (if relevant)