Get the free Statement of Student Grievance - Student Services Department

San Diego Community College District STATEMENT OF STUDENT GRIEVANCE Student Name CSI Address Number Phone # (Street) City Zip Email Were you a student at the time of the incident ? Yes No College/Campus

How to fill out statement of student grievance

How to fill out a statement of student grievance?

1. Begin by clearly stating your name, student identification number, and contact information at the top of the statement.
2. Provide a brief and concise summary of the incident or issue that you are filing the grievance about. Include specific details such as who was involved, when and where the incident occurred, and any supporting evidence you may have.
3. Clearly outline the nature of your grievance. Explain why you believe your rights as a student have been violated or why you feel the need to report the incident.
4. Present any supporting documentation or evidence that you have gathered. This can include photographs, witness statements, emails, or any other relevant material that supports your case.
5. Be clear and specific in describing how the incident has affected you personally. Explain any emotional, academic, or physical consequences that you have experienced as a result of the incident.
6. Clearly state the outcome you are seeking from the grievance process. This could be an apology, disciplinary action against the responsible party, changes in policies or procedures, or any other appropriate resolution.
7. Sign and date the statement to verify its authenticity and indicate your consent for the grievance process to proceed.

Who needs a statement of student grievance?

1. Students who have experienced any form of harassment, discrimination, or misconduct by faculty, staff, or fellow students may need to file a statement of student grievance.
2. Students who feel that their rights have been violated or that they have been treated unfairly in academic or administrative matters may also need to file a student grievance.
3. In institutions with specific grievance procedures, students who wish to take formal action against an alleged offender or who want to document an incident for future reference may be required to fill out a statement of student grievance.

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