Rend Lake College

Student Complaint Form

Warrior Tag

Name of Person Filling Form

Name

Address

City

State

Zip Code

Phone Number

E-Mail Address (Warriormail is preferred)

Complaint

Student Code of ConductSafety & SecurityDiscrimination / Sex-Based Harassment
Staff Code of ConductTraffic Violations CivilDiscrimination (Race, Gender, Other)
Academic PolicyRights DisabilityOther
Institutional PolicyServices

Description of Complaint

Give as many facts as you can remember (names, dates, times,etc.)You may use additional pages if needed. You may also attach any documents that you feel are pertinent to your complaint

People Involved - List any students, staff, faculty that were involved or witnessed the complaint

Your attempts to resolve the issue

Your Desired Resolution

I hereby certify that the above information is true and correct to the best of my knowledge and belief. I grant permission for thiscomplaint to be forwarded to RLC officials for purposes of investigation and response.

Attachments - You may provide up to 5 attachments in MS-Word (doc/docx), pdf, jpg, png, txt formats

Add Attachment

Select a file
Name
The maximum file size allowed is: 100 MB

Resolution

​​Rend Lake College

Rend Lake College