Student Complaint Form | Paradise Valley Community College

(Non-Instructional Grievance Form)

The Student Complaint Form is to be used by students to report concerns of unfair or unjust treatment by any PVCC employee with regard to student services or administrative services. To report a non-instructional grievance:

the student must first try to resolve the situation with the employee
if the grievance is not resolved at this level, the student can request to speak to the employee’s supervisor.

If the concern is not resolved with the employee or the employee’s supervisor, please fill out this form. Please complete all fields so your complaint will be directed to the proper college officials.

Non-instructional grievances may be submitted anonymously; however, unless you include your contact information, PVCC will be unable to investigate your grievance, inquire further, or respond to you regarding the complaint.

To report an instructional grievance, please follow the Instructional Grievance process here.

To report Title IX/Sexual Harassment, etc. (student or employee), please use this form.

To report Student Discrimination, please use this form.

If you are pregnant and/or parenting, please use this form.

First Name

Last Name

MEID

Phone

E-mail

First date on which the events or issues occurred

Name(s) of the person(s) involved

Please describe your concern in detail. Include the names of persons, locations, and dates involved. If this concern is against specific person(s), please list their names and titles.

Was your concern regarding

Student Misconduct

Staff or Employee Misconduct

What attempts have you made to resolve this concern up to now? Please state who you contacted and what transpired.

What resolution would you consider fair? What resolution do you seek?

Any other information you want to provide?

Urgency of this report:

If Other, please explain