Faculty Complaint Form
Date of Incident
MM/DD/YYYY
Semester
Student Information
First Name
MI
Last Name
Mason Email
Major/Concentration
Mason G#
Phone
Phone Type
Course Information
CRN
Faculty/Instructor Name
Course Name
Please describe the nature of your complaint. (Upload additional documentation below if necessary).
Please attach any supporting documentation that corroborates your complaint.
Acceptable file types are Word Document, PDF, or JPEG.
Have you discussed this complaint with the faculty member?
Yes
No
Contact Information