STUDENT COMPLAINT FORM - Alcorn State University

Student Complaint Policy

Alcorn State University is committed to a policy of fair treatment of its students in their relationships with fellow students, faculty, staff and administrators. Students are encouraged to seek an informal resolution of the matter directly with the individual(s) involved when possible. For matters where a resolution is not feasible, a Student Complaint Form can be completed and filed with the Department of Residence Life.

Your Information

First Name *

Last Name *

Email *

Phone *

ASU ID

Address

Address *

City *

State *

Zip *

Name(s) of party or person(s) involved

Full Name 1

Full Name 2

Full Name 3

Full Name 4

Nature Of Complaint

Location *

Date(mm/dd/yyyy) *

Time *

Detail *

Witness Information

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