Graduate Student Complaint/Concern Form
Please provide details related to your complaint or concern. If you any questions regarding the form or have additional questions or concerns, please contact the School of Graduate Studies Office. Please email Dr. Phillip Strickland at phstrickland@utf.edu or call 706-914-8661.
Student's Name:
*
First Name
Last Name
Email (please use UTF email):
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
-
Month
-
Day
Year
Date
Title/Affliation
*
Please Select
Faculty
Professional Staff
Student
Member of the Community
Urgency of this Report:
Please Select
Normal
Critical
Specific Location (Course number/section, Room#, Description of Location.)
Complaint/Concern Type (Check all that apply)
Safety/Care
Campus Policy
Campus Employee/Personnel
Emergency Response
Student Support Service
Academic Support Service
Other
Description/Narrative:
*
Supporting Documentation: Photos, video, and other supporting documentation may be attached below. Attachments require time to upload, so please be patient after you click submit for this form. Maximum 10MB per file upload.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: