TRACKING SYSTEM for COMPLAINTS 1. Complaint Tracking Question Title * 1. Name of person completing this log (Required.) Question Title * 2. Complainant Name (Required.) Question Title * 3. When was the complaint received? (Required.) . Date Question Title * 4. What is your position on campus? Staff member Vice President President Faculty Dean Director Other (please specify) Question Title * 5. Which department received this complaint? Academic Liaison Academic Services Admissions Book Store Business Industry Technology Business Office Career Services Crawford Success Center Child Development Center Disabilities Services Facilities Financial Aid Foundation Health Sciences Human Resources Information Technology Institutional Research Liberal Arts Marketing President's Office Registrar's Office Student Success Center Tutoring Services TRIO Other Off Campus CCP location- Please specify which location in the comment box below Comment Question Title * 6. Was the person who submitted the complaint Student Staff Member Faculty Full-Time Faculty Part-Time Community Member Administrator Other (please specify) Question Title * 7. Was the complaint Resolved at your level Sent back to subordinate Sent to a Vice President Sent to the President Sent to an outside agency Sent on to another office on campus-please specify which office in the comment box below Comment Question Title * 8. What was the nature of the complaint Unfair grading/classroom practices Supervisor Issues Campus Safety Issue Co-worker Conflict Workload Title IX- Discrimination Other (please specify) Question Title * 9. Please give details on the nature of the complaint. Question Title * 10. Please describe how the complaint was resolved. Question Title * 11. When was the complaint resolved? Date Date 50% of survey complete. Next