Student Complaint Submission System

All complaints are taken seriously and will be reviewed by the appropriate departments responsible for such submissions. You should expect to receive an acknowledgement and follow-up.

Imminent Danger Advisory If you believe that you, or another person, are in imminent danger of harm, DO NOT USE THIS FORM. Please contact Public Safety at 718-262-2222 or dial 911 immediately - Public Safety office is located in the Academic Core Building, Room 1M02

Acknowledged

False Complaint Advisory Knowing submission of a false complaint through this portal is misconduct and subject to discipline under the Student Conduct Code & applicable collective bargaining agreement.

I Acknowledge and confirm

First Name Provide your first name

Last Name Provide your last name

EMPL ID

Phone Number to reach you

York College E-Mail Address

Preferred Method of Contact

Phone Email

Check this Box if you want to remain anonymous

Anonymous

Classification Which of the following most closely defines your affiliation to York College?

Year Classification

Academic School

Major

Current Status

Location of Incident Select the main location of where the Incident occurred

Date of Incident Most recent event

Time of Incident Approximate time of recent event (please add AM or PM after time)

Subject of Complaint Provide Name(s) of person(s) or write unknown

Classification of Subject of Complaint Which of the following most closely defines the subject(s) of complaint affiliation to York College?

Type of Complaint

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

Attempts What attempts have you made to resolve this complaint up to now? Please state who you have contacted and what transpired? (Relate any actions you have already taken to address this concern. For example: spoke with professor, spoke with advisor, contacted the appropriate office, etc.)

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

Other Complaints Have you filed a complaint with any other organization(s) or entity(s) related to this complaint?

Note: If yes, please provide us with the name of the organization(s) and the outcome.

Law Enforcement Has this incident been reported to law enforcement?

Campus Security Has this incident been reported to Public Safety?

Additional Information Any other information you want to provide?

Attachments If attachments are necessary, please include as a .jpg or .pdf

Submission By submitting this complaint you affirm that the above allegation is true to the best of your knowledge, information and belief.