Student Complaint Form

A student complaint is based upon a claim that a policy or procedure was not followed or was not applied equitably (BOT policy number 10-08).

1. First Name
2. Last Name
3. Your TCC Email
4. Student ID#
5. Phone Number 5. Phone Number - ### - ### ####
6. Mailing Address 6. Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
7. Have you attempted to address your complaint with anyone prior to starting this form?

7. Have you attempted to address your complaint with anyone prior to starting this form? Yes No
8. If yes to question 7, whom did you address your complaints to?

(list the full name(s) of everyone you have addressed your complaint to)
9. What is the nature of your complaint?

9. What is the nature of your complaint? Academic Financial Student Services Other Other
10. Please describe the nature of your complaint in the space below. Please be as specific, factual, and comprehensive as possible. You may submit supporting documentation to the Student Affairs office. You will be contacted by phone or email within 2 business days from the date the completed form is received.
11. Please upload any supporting documentation here:

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