Student complaint form

Students may use the Complaint Form to file a complaint regarding faculty in the academic setting(s), regarding other employees, contractors or vendors, safety concerns, facilities, student services, or other college services.

Student Name(Required)

Date(Required)

Phone(Required)

Email(Required)

Student ID(Required)

Program(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

TYPE OF COMPLAINT(Required)

Academic (Program, Course content, delivery method, instructor, learning environment, access resources etc.)

Non-Academic (Student Services, safety concern, facilities, administrative action, procedure, decision, etc.)

Other (Please specify):

Student are encouraged to discuss their concern and complaints via information conference with the appropriate administrator or instructor.

Steps Taken to Resolve the Issue (if any): (Describe any actions you have already taken to address the issue, such as speaking with staff or submitting a request.)

Details of Complaint: (Describe the issue or concern in detail. Include dates, locations, and names of individuals involved, if applicable.)

Desired Resolution or Outcome: (Explain what you hope will happen as a result of this complaint.)

Supporting Documentation: (List any documents you are attaching, such as emails, photos, or other evidence.)

File Upload

Max. file size: 100 MB.

I hereby declare the information on this form to be correct, true, and complete to the best of my knowledge. I understand that any misrepresentation of the information may result in disciplinary action in accordance with Student Code of Conduct policies.

Student Signature:(Required)

Student complaint form

NHS Main Campus

301 College Drive
PO Box 490
New Town, ND, 58763

Student complaint form

NHS Main Campus

301 College Drive PO Box 490 New Town, ND, 58763

301 College Drive
PO Box 490
New Town, ND, 58763