Online Course Complaints & Appeals Form

If you see this don't fill out this input box.

PERSONAL INFORMATION

*Name

*NetID

*Student ID Number

*Online Program

*Address

*Phone

*KSU Student Email

Alternate Email

COMPLAINT INFORMATION

*Course Information

*Professor

Issue of Concern

Satisfactory Resolution

*Contacted Professor

Yes, I have communicated with the instructor of the course regarding this complaint.No, I have not communicated with the instructor of the course regarding this complaint.

Date & Time/Additional Information

Contacted Chair

Yes, I have communicated with the Chair of the Academic Department for the course regarding this complaint.No, I have not communicated with the Chair of the Academic Department for the course regarding this complaint.

Name, Date & Time/Additional Information

Additional Comments