General Grievance Form-2

General Grievance Form

For students to voice concerns/dissatisfaction with RPCC faculty, staff, or facilities.
Submission of the General Grievance Form initiates Step 1 (informal processes) of the grievance process outlined in Policy 2.004 Student Grievance Policy & Procedure.
Student Name*

First NameLast Name
Student LoLA Number
Email*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Do you wish to remain anonymous?*

Grievance Summary
Grievance Type*
Does this grievance include claims against a Dean or Department Head? (Routed to AVC Student Services)*

YesNo
+

MonthDayYear
Please share details regarding your concern or dissatisfaction and why, in the space below. Also share any documentation relevant to your grievance through the upload link.*
Please upload relevant documents here.

pdf, jpg, png accepted
Cancelof
Desired Outcome
I am aware that this document may be reviewed by relevant Deans, the Associate Vice Chancellor of Student Services, or routed to other relevant parties for thorough investigation within 3-5 days. I will receive follow-up communication by the email on file. *

Clear
River Parishes Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. **To contact individuals designated to handle inquiries regarding non-discrimination policies, click here.
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