Student Grievance

Name(Required)
Your Physical Address(Required)
Nature of this report(Required)
Urgency of this report(Required)
MM slash DD slash YYYY
Time of the incident(Required)
:
Location of Related Matter(Required)

Involved Parties

Please list the individuals involved (excluding yourself), including as much information as you can.

Name or Organization(Required)
Role(Required)
Currently, are you in a class that is being taught by the faculty/staff member who is the focus of the complaint?
Currently, are you scheduled to be around the faculty/staff member who is the focus of the complaint, within the next week? Currently, are you scheduled to be around the faculty/staff member who is the focus of the complaint, within the next week?
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    Urgent Rose Alert:

    Due to ongoing weather conditions, Rose State College is closed for the evening as of 6:45 PM, March 10th.