Complaint Form

First Name*

Last Name*

Affiliation*

Student

Parent

Faculty

Staff

Alumnus

Other

Street Address

Street Address Line 2

City

State

ZIP / Postal Code

Country

Email Address*

What have you done to resolve this complaint up to now? State who you contacted and what happened. Informal resolution must be sought before filing this formal complaint. Email [email protected] for help with seeking informal resolution.*

Please describe the situation that has led to this complaint. Include the date(s) when this action occurred.*

Please state what resolution you are seeking.*

By checking this box, I verify that the above information is true and correct to the best of my knowledge. I give permission for this complaint to be forwarded to Ouachita Baptist University officials to investigate and respond.*

Yes

Date of Submission*