Student Complaint Form

BEFORE PROCEEDING, PLEASE VERIFY THAT

You have exhausted all available grievance procedures established by the institution; and

You are not satisfied with the resolution provided by the institution and are contacting SCHEV as a last resort in the grievance process.

Question Title

* 1. Please enter your first and last name

Question Title

* 2. Address

Question Title

* 3. Home Phone including area code

Question Title

* 4. Cell Phone including area code

Question Title

* 5. Work Phone including area code

Question Title

* 6. Email Address

Question Title

* 7. How do you prefer we contact you?

Question Title

* 8. School or Institution Name

Question Title

* 9. School Address

Question Title

* 10. Name of Your Academic Program

Question Title

* 11. Degree Level

Question Title

* 12. Program Start Date

Question Title

* 13. Program End Date

Question Title

* 14. Current Status

Question Title

* 15. Is your student complaint related to a student loan?

T