Student Complaint Intake Form

Please submit this form if you would like to file a complaint against a nursing program.  
 

Do you wish to remain anonymous? *
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Program Type: *
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Be sure to include complaint facts including: dates, times and locations of incidences; statements made; and any behaviors which were observed.
Do you have evidence of your complaint / attachments that need to be uploaded? *
May a copy of this complaint be shared with the school against which you are complaining? *
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Have you followed the grievance processes through your school or organization? *
Do you have documentation to submit regarding how you have exhausted each step of the schools grievance procedures? (Documentation can be submitted at the end) *

One file only.
32 MB limit.
Allowed types: gif jpg png pdf doc docx ppt pptx xls xlsx.

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