Student Complaint Form

My instructor and I have a problem we have been unable to resolve, after some discussion. To request a formal conference about this issue, I am completing and submitting this form to the director. I am returning this form to the INTERLINK office within 3 working days after my (last) discussion with the instructor.

Name*
First Last
Email*
Date*
MM slash DD slash YYYY
Nature of Complaint*
Write a brief description of the problem. Be as specific as possible about what would make the class better for you.*
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