Lewis University Student Complaint

Lewis University is committed to a policy of fair treatment of its students in their relationships with fellow students, faculty, staff and administrators. Students are encouraged to seek an informal resolution of a dispute directly with the faculty or individual(s) involved when possible. For matters where a resolution is not feasible, a student or a Lewis faculty or staff member on their behalf, may make a formal complaint. Other stakeholders (e.g. parent, community member, alumni) may use this form to submit a complaint, providing their contact information in the student information sections. Please be assured that no adverse action will be taken against a student who files a formal appeal or complaint.

For the complete Student Complaint policy and process, see lewisu.edu/studentcomplaints.

* Indicates required question

Name of Person Submitting Complaint:

Institutional Relationship:

Choose One

Student's Name (if submitted by a faculty or staff)

Only fill out this section if you are a current Faculty/Staff member

Student ID Number (Please enter your L number):

Student Email Address:

Student Phone Number:

Contact Student Using:

Email

Phone

Date of Occurrence:

Summary of Complaint

If complaint is submitted by staff/faculty member, include any actions taken in response to the complaint.

Course Complaint

What is the desired resolution you are seeking for this complaint?

Do you have a file to upload?

Select Yes or No

Attachment

Please attach any documents related to this complaint.

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Your name

Your email address

Student Complaints

Lewis University Student Complaint

Other Fields