Student Complaint Form

Body
Is this complaint against an individual or a nursing program?

Complaints against individuals must be submitted through the Arizona Complaint Portal.

 

Student Complaint Form

Complainant Information

Do you wish to remain anonymous?
Complainant Address

School/Program Information

Program Type
Program Address

Complaint Facts

Be sure to include the following complaint facts: dates, times and locations of incidences; statements made; and any behaviors which were observed.
May a copy of this complaint be shared with the school against which you are complaining?

Grievance Process

Have you followed the grievance processes through your school or organization?

Witness Information

Supporting Documents

Email any supporting documents to [email protected].