Student-Athlete Formal Complaint Intake Form

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Email address *

First name *

Last name *

Sport *

Name(s) and role(s) of individual(s) involved: *

Date and approximate time of incident *

How would you classify this incident? *

Minor Moderate Major

Incident description *

Be as specific and thorough as possible so we can address accordingly.

How did you become aware of this situation? *

I experienced this firsthand I witnessed this firsthand I hear of this secondhand Other

Please describe what your desired resolution is *

* required field