Student-Athlete Complaint Form

Please tell us about yourself

Name*

First Last

I am a*

Student ID*

Program*

Semester*

Year of Study*

What sport team are you on? Which Division?*

Full name and sport of the student athlete concerned*

Please specify your role and the organization you are affiliated with:*

Your email*

Other contact information:

Please describe the issue/incident*

Is this the first time you are contacting this office?*

Is this a continuation of a problem previously discussed?*

Have you contacted anyone else regarding this issue?*

If so please specify who else is aware of this issue*

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Phone

This field is for validation purposes and should be left unchanged.