EmailMeForm
Formal Student Complaint Policy Form
Use of the Formal Student Complaint Form:
LMU seeks to address written student complaints when brought to the attention of the administration. The Formal Student Complaint Process of LMU is a separate process from the Program Specific Grievance Appeal Process in an academic program. The University encourages students who have a legitimate concern to participate in the Formal Student Complaint Process if the concern is not addressed by the Program Specific Grievance Appeal Process. This form is used to document and track the institution’s forthright attempts to address appropriately filed Formal Student Complaints. The process initiated by this form does not negate or replace any Program Specific Grievance Appeal Process. The student may be directed to that process as a result of filing this form. The Program Specific Grievance Appeal Process must be completed by the student before any additional review may take place by the University. The Formal Student Complaint Process examines evidence of procedural violations of university policy in arriving at decisions rendered through the Program Specific Grievance Appeal Process. The review is not one of situation-specific evidence but only focuses on the University’s adherence to its stated policies and procedures. Upon receiving a decision through the Program Specific Grievance Appeal Process, students have thirty (30) days to begin the Formal Student Complaint Process. Students who wish to file a Formal Student Complaint must complete and submit this Formal Student Complaint Form. The Office of Institutional Compliance receives, processes, and archives Formal Student Complaints.
Students are required to use the program specific appeal/grievance process prior to filing a formal student complaint using this form.
Student Contact Information
Name
First
Middle
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
LMU ID Number:
LMU Email Addresss:
Phone
###
-
###
-
####
Term and Last Year Attended:
Are you a:
Resident
Commuter
Complaint Information
Have you completed the appeals/grievance process in your academic program?
Yes
No
Program Level:
Undergraduate
Graduate
Professional
LMU School or College:
Area of the University involved in the Complaint:
Academic policy/procedure
Student Services
Instructure
Administration
Facilities
Other
If this complaint involves an instructor, please complete the information below.
Instructor Name:
Course Name & Number:
Semester:
Please describe how you have attempted to resolve this issue through other means:
With whom have you spoken (College Official):
When?
What was the outcome?
Please explain below the circumstances of this formal complaint.
(Be specific in explaining your concerns. Include dates and names of individuals who may be involved. Please attach any supporting documentation or additional information you think is relevant to this complaint.)
Why are you pursuing the formal complaint process?
What do you hope to achieve through the formal complaint process?
File Upload
Student Signature:
Clear
Date Time
MM
/
DD
/
YYYY