Complaint Form

Thank you for sharing your information regarding this situation. Please complete all sections of the form below with as much detail as possible. Your form will be reviewed by the Dean of Student Services. Appropriate staff will be in touch with you shortly for additional follow-up. If you have any additional concerns or questions, please contact Dean of Student Services Dr. Tessie Bradford at bradfordts@lamarpa.edu, stop by the office in Room 301 of the Student Center, or call (409) 984-6157.

Note: This form is for student use. Employees with complaints should follow procedures in the Administrative Policy and Procedure Manual.

Name (required):
Street Address:
City:
State:
ZIP code:
Phone Number (required):	( ) - Second three digits Last four digits
Email (required):
Confirm Email (required):
Student ID (P-Number) (required):
Describe the nature of your complaint (required):
Have there been previous attempts to resolve this issue (required):	YesNo

How do you hope to see your complaint resolved (required):
You may attach 2 relevant files to this complaint. Acceptable file types are document (pdf, doc, docx, txt) and picture (gif, jpg, jpeg, png).
Document 1:
Document 2:
Validation: