Complaint Form

The Family Educational Rights and Privacy Act (FERPA) prohibits the University from disclosing information regarding the records of students. As a result, the University will confirm that a report has been received, but will be unable to provide information regarding outcomes of disciplinary meetings with students.

Name:

Email address:

Phone:

Address:

Address of problem:

Date of incident: / / (eg. 01/01/2004)

Time of incident:

Nature of complaint:

Were the police contacted? Yes No

Were the police on scene? Yes No

Personal contact with problem house? Yes No