We appreciate your comments and thank you for the time you took to fill out this form.

Please note that there is an official form for any complaints regarding an educational accommodation.  This form is available in the DSS Office.

Check here if you would like to be contacted regarding this matter.

*Name:                         

*Student ID:                        

*Email address:    

Date:                              

Phone:                          

*Brief subject of comment:          

*Enter further details below regarding this matter: