Student Concern Form

What is your issue related to?(Required)

Have you spoken to the Chairperson of the relevant department yet?(Required)

Have you spoken to the relevant office (i.e. Financial services, Admissions, Bursar, etc.)?(Required)

Which office (s) did you speak with?(Required)

Please indicate the person who referred you to Student Affairs, and their office(Required)

Name(Required)

First Last

EMPLID(Required)

Phone Number(Required)

LaGuardia Email:(Required)

Alternate Email

Please explain your concern in detail here:(Required)

(Include date, time, room/location, class section, names, etc.)

Document Upload

Please submit all relevant documents that support your concern.

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 3 MB, Max. files: 5.

Please submit all relevant documents that support your concern.
This form may be shared with relevant college and university staff to aid in resolution.
Please allow up to three business days for an initial update on how your concern can be addressed.

Acknowledgement(Required)

I have read all of the above and acknowledge that I understand and accept the terms listed.

Name

This field is for validation purposes and should be left unchanged.