Name Student Complaint Form Institution of Occurance * Complainant's Title * Complete Name * Mailing Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Email * Student Type * Current Former Prospective Grievance Date: Complaint Details Details of Complaint - Include all Dates and Names * Resolution you Seek Other Organization Complaint Submitted To Organization Name Address Date Previously Submitted Status of Previous Complaint Contact Person Contact Person Phone Contact Person Email Affirmation In order for this complaint to be processed, please read and affirm all of the following: (required) 1: I hereby attest that the above information is true and accurate to the best of my knowledge. 2: I will provide additional information and supporting documentation upon request. 3: I hereby authorize TCSG and/or any of its representatives to disclose the information submitted to the college against which the complaint is filed. 4: I understand that TCSG may dismiss the complaint if an ivestigation determines that the complaint is without merit. 5: I understand that TCSG may refer the complaint to another agency, review board, or other authorized body, as appropriate and necessary.