Class Complaint Form

 
Please note that this form is for students to file a complaint about an instructor. Students wishing to file a grade grievance should consult the Current Students Page on the LAVC website.
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1. Prior to filing this complaint, students are required to first meet with instructor and then that instructor's department chair. Have you done so?
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2. Your Full Name
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3. Your Student ID Number:
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4. Please provide your phone number:
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5. Please provide your email.
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6. Please provide the name of the department, class, and/or instructor that is the subject of your complaint.
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7. Please provide a detailed description of your complaint. If it is an incident, please include the date, time and place as well as any witnesses who were present.
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8. What action or remedy do you request for your complaint?
Thank you for completing this form. You will be contacted within ten working days.
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