WVSU Student Complaint Form
Please submit any complaint you may have as a student attending or seeking to attend West Virginia State University by using the form below. Your complaint will be forwarded to the appropriate faculty or staff member for resolution.
Student Name
*
First Name
Last Name
A# (A00...)
*
Phone Number
*
Please enter a valid phone number.
WVSU Email Address
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nature of Complaint
*
Academic (program, course content, delivery method, instructor, learning environment, access to resources, etc.)
Non-Academic (student services, safety concern, administrative action, procedure, decision, etc.)
Issue with another student
Other
If nature of complain is academic...
course content/materials/access to resources
timeliness of returned work/current grade
instructor communication in classroom
instructor communication outside of classroom
Other
Have you attempted to resolve your complaint?
*
Yes
No
If yes, please provide any evidence of resolution steps (include dates, times, names, etc.)
Date of Event
*
-
Month
-
Day
Year
Date
Summarize the nature of your complaint using factual information in your narrative.
*
Specify outcome/resolution being sought.
*
Please upload any documentation you would like to provide.
Browse Files
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of
When addressing my concern...
*
You may use my name
You may NOT use my name
Please note that if you do NOT wish to be identified, this may limit resolution options.
By submitting this complaint form..
I hereby declare the information on this form is correct, true, and complete to the best of my knowledge. I understand that I may be asked to provide any additional information requested related to my complaint.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
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