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LURLEEN B. WALLACE COMMUNITY COLLEGE Student Grievance Form Submit this form to the Dean of Student Affairs/Title IX Coordinator in person in the Jeff Bishop Student Center Andalusia campus via fax to 334 881-2201 or via email to jjessie lbwcc.edu. COMPLAINTANT INFORMATION Name Address to send correspondence City State Zip Telephone Email Name of the person/s your grievance is against What date/s did the actions occur What do you allege occurred Please be specific provide details and use the...
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