Fillable Guilford Technical Community College - Student Complaint Form Non Grade Related Appeal

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Guilford Technical Community College - Student Complaint Form Non Grade Related Appeal

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GUILFORD TECHNICAL COMMUNITY COLLEGE
STUDENT NON-GRADE RELATED COMPLAINT
STUDENT COMPLAINT FORM
NON-GRADE RELATED
Directions:
The student must complete page 1 of this written appeal form and submit it within 30 days after the action/decision has occurred.
The student must submit the written appeal to the administrator responsible for the faculty, staff, department, or program involved.
Upon completion of the appeal process, this form and additional documentation will be retained in the VP of student Services Office.
Timeliness: While every attempt will be made to address the complaint in the shortest possible time frame, processing at each step cannot
exceed 10 working days; however, the time may be extended by agreement of both parties or by extenuating circumstances as decided by
the administrator to whom the complaint is presented. If the issue is not resolved at one level and the student chooses to move the concern
to the next step of the appeal process, s/he must complete that action within 5 working days of receiving a decision.
STUDENT INFORMATION
Name:
Student ID#:
Phone Number:
Email Address:
Date of the Action or Decision that is being appealed:
INFORMATION OF THE FACULTY, STAFF, DEPARTMENT, or PROGRAM NAMED IN THE APPEAL
Name:
Office:
Email Address (if applicable):
Phone extension:
APPEAL INFORMATION
1. Provide a brief description of the action or decision that you would like to have reviewed. (attach any relevant information)
2. Explain any previous attempts to resolve the matter.
3. Propose your desired resolution.
Student Signature:
Date:
GUILFORD TECHNICAL COMMUNITY COLLEGE
STUDENT NON-GRADE RELATED COMPLAINT
FOR COLLEGE ADMINISTRATION USE ONLY
APPEAL LEVEL I
Decision Rendered:
College Administrator Signature:
APPEAL LEVEL II
Decision Rendered:
College Administrator Signature:
APPEAL LEVEL III
Decision Rendered:
College Administrator Signature:
FINAL APPEAL LEVEL
Decision Rendered:
College Administrator Signature:
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Guilford Technical Community College - Student Complaint Form Non Grade Related Appeal

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Completed 3 May 2020

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