Student Contact Information
An * denotes required fields
First Name*:
Zip*:
State*:
City*:
Street Address*:
(include Apt #, P.O. Box or St.)
UTSA ID*: @
E-Mail Address*:
Phone*:
Last Name*:
Fax:
Major(s)*:
Minor(s):
Yes
No
Would you like to schedule an appointment*:
The University of Texas at San Antonio
.
Office of the Vice President for Student Affairs
STUDENT CONCERN FORM
General Student Information
Abbreviation of Intended Degree
Program* (BA, MA, etc):
Enrollment Status:
Classification:
Student Concern
Please briefly explain your concern* (max 100 characters):
If no, when would you be available to speak by phone about your concerns:
If yes, please call the Office of the Vice President for Student Affairs at (210) 458-4136 to schedule an appointment
with the Student Ombudsperson.
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Full-time
Freshman