Student Concern / Grievance Reporting Form

 

Louisiaina State University at Eunice seeks to provide fair and objective procedures for hearing student non-academic complaints and endorses compliance with the spirit of non-discrimination regulations.  If a student is not able to resolve an issue or complaint with an individual or department, then please submit this form.

If you are submitting this form to appeal a grade or any academic decision, you need to familiarize yourself with Policy Statement 8, which details appeals procedures for students.  Click HERE to view a copy of P.S.8.  Complete this form and/or contact the Office of the Dean of Student Affairs for guidance and support in appealing grades and academic decisions.

Reporter Information
Incident / Report Information
Please describe in as much detail as possible the specific words, phrases and interactions associated with the situation. If the individual was loud or disruptive, indicate behaviors associated with the disruption, and describe any injury or damage to person(s) or property. Include name(s) of campus personnel you contacted and actions taken, if any.
Supporting Documentation

Please send any supporting documentation that can supplement this report to studentaffairs@lsue.edu.  Supporting documentation might be copies of tests, screenshots, pictures, etc.