Department of Chemistry Student Complaint Form

  1. Please be sure to speak to the individual in question before filling out this form.
  2. You must complete the entire form. Incomplete or unclear forms will be returned to you.
  3. Make sure to attach copies of any documentation concerning your complaint.

This information will be given to the appropriate individual. Please allow two working days for contact regarding your complaint. 

Your Information



TelephoneEmail




NoYes (see below)




Yes, my identifying information may be used.No, I wish to remain anonymous.


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