Wayne College Student Concern Form
Student Name: *
If this concern involves an instructor or adviser, have you sought resolution with that individual? *
Yes I have
No I have not
Detailed description of the concern *
Student Id *
UA Email Address *
Phone * (Choose at least one)
Home:
Cellular:
Work:
An asterisk (*) denotes a required field
The submitted form will be forwarded to the Office of the Sr. Director of Student Life and Enrollment Management for review. You will be contacted regarding your concern.
