Little Priest Tribal College
Our Mission: Be Strong and Educate my Children
Wyzant Tutoring Student Complaint Form
Date:
Student Name:
Student ID:
Contact Information:
Date of Incident:
Name of tutor:
Describe the incident:
When can you be available to meet with Student Services to discuss further:
Student Signature Date
Director of ^tudent Services Follow Up Use Only
Date of Follow-Up Meeting:
Incident reported to Wyzant: Yes No
Incident report to Vice President of Teaching and Learning and President: Yes No
Other action taken: Explain
Director Signature Date