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Student Concern Form

The form below is a student concern form, not a grievance. You will have the option to escalate your concern into a grievance; however, at their discretion, ODS staff may exercise their best professional judgement and escalate the concern to a grievance.

Classification:
Concern Related to Which Campus? *

Describe the concern in detail below. (Be as specific as possible and provide examples): Include names of other persons, departments, or witnesses involved and include support documentation. Please start with the prompts below and include any additional information.

*Please attach any additional documentation or information.

Students are encouraged to self-advocate and discuss their concerns and complaints informally with the appropriate instructor or campus administrator. Have you made an attempt to resolve this grievance with the individual or department involved? *
Please agree to the following statement: *

 A representative from ODS will contact you to setup an appointment