Student Complaint Form

  1. Glenville State University
  2. Academics
  3. Student Complaint Reporting Policy
  4. Student Complaint Form

Please refer to the Student Complaints Policy before filling out this form. This form is to be used to submit a formal complaint a student has been unable to satisfactorily resolve with the faculty, staff, students or others involved.

Please complete all portions of this form so that your complaint may be directed to the proper College officials.

Complaints may be submitted anonymously; however, unless you include your contact information, GSU will be unable to investigate your complaint or respond back to you regarding the matter.

Section 1: Personal Information

Preferred method of contact

Section 2: Information about your complaint

(Keep in mind that it may be difficult to resolve if those involved cannot be asked to explain or to respond.)

NOTE: RETALIATION AGAINST A STUDENT FOR MAKING A COMPLAINT IS ABSOLUTELY PROHIBITED AND WILL BE CONSIDERED A SERIOUS VIOLATION OF PROFESSIONAL RESPONSIBILITY.
I hereby certify that the above information is true and correct to the best of my knowledge and belief. I give my permission for this complaint to be forwarded to GSU officials for the purposes of investigation and response.