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Student Complaint Form


Kirkwood encourages students to share concerns about the quality of service provided by any support area or the quality of the learning experience provided by faculty. Kirkwood's complaint policy is intended to provide a clear process for the college to address student concerns for the purpose of improvement and supporting student success. Students who have sought resolution of a complaint by working with others on campus and find themselves unsatisfied with the outcome may submit this complaint form provided the following criteria are met:

1. Complaints must be submitted by the student affected and cannot be anonymous
2. The student previously sought to resolve the concern at the individual or department level and the outcome was unsuccessful
3. Complaints cannot be a request to change or appeal a decision for which a defined process is already provided, such as a grade appeal; appeal of a disciplinary action; refund of tuition request, and other defined process

Student Reporter's Information

The student submitting the complaint must meet one of the following criteria:
1. An individual who is currently enrolled
2. An individual enrolled within the last year (when the facts or circumstances that led to the complaint occurred)
3. A graduate of Kirkwood who was enrolled in the previous year (when the facts or circumstances that led to the complaint occurred)

 
Email address must be of a valid format.

Involved Parties

Please submit your name and information as the first involved party in the space below. Please provide the names of any faculty, staff, students, or others at Kirkwood who may have been involved in the complaint or any attempts at resolving the complaint. Complete as much information as you know for each person. Please select the Add another button to add the names and information of more than one person.

Involved party 1

Description of the Concern/Complaint

To effectively respond to your concerns, please provide as much information as possible about the circumstances or issues you feel are relevant to the situation

This field is required.
Please indicate the areas of which your complaint pertains (check all that apply):(Required)
You must make at least one selection.
This field is required.
This field is required.
This field is required.

Supporting Documentation

Please attach any supporting documentation you may have including notes of conversations, copies of related documents, and PDF copies of email exchanges regarding the complaint (if applicable) Attachments are limited to 5GB maximum total size. Please be patient when submitting this form with attachments 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission