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Student Complaint Form
We sincerely apologize for any problems that you encountered. Please fill in the information below to help us understand what went wrong so that we can make things right.
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Phone
Email Address
Campus Location
*
Lauderhill
WPB
Palm Bay
Date of Concern (MM/DD/YYYY)
*
Please describe what happened. Be as detailed as possible and write as much as you would like.
*
What do you feel would be a fair resolution to the situation that occurred?