South Georgia State College

Student Non-Academic Complaint Form

Student Non-Academic Complaint Form

This form is used by students to initiate the formal written student complaint procedures as outlined in the South Georgia State College Student Handbook. 

This section is to be completed by the person filing the complaint:

* First Name

* Last Name
-
(###)
-
###

####

Street Address


City

State

Zip
Person Accused:

* First Name

* Last Name
Please list the names of other persons with information about the complaint:

* First Name

* Last Name
-
(###)
-
###

####
Add additional names:

* First Name

* Last Name
-
(###)
-
###

####
Yes
No
Name the advocate or staff person who assisted with the formal process:

* First Name

* Last Name
Thank you!