WCC Complaint, Grade Appeal, and Student Grievance Form

Please use this form to submit a complaint, grade appeal, or student grievance at WCC. A complaint is a dispute between a student and a faculty or staff member regarding grades, assignments, attendance, classroom procedures, program requirements, or other services. Before submitting, please attempt to resolve the issue informally with the involved party. Formal grievances should only be submitted if informal resolution has failed. Complete all sections accurately; missing information may delay processing.

First

Middle

Last

Student ID Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

College Email

Phone Number

Type of Complaint

Incident Report (Violation of Student Conduct Policy)

Grade Appeal

Student Grievance

If you selected Incident Report, please specify the type of violation of Student Conduct Policy

Provide details about the specific policy violation involved.

Resolution Attempts to any of the above Complaints (Please describe how you have tried to resolve the issue and who you have contacted so far).

Detailed Description of Grievance or Grade Appeal

Describe the grievance in detail, including the place and date of the interaction, and provide any additional details.

Attach Supporting Documentation (optional)

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Please attach any additional supporting documentation (e.g., emails, screenshots, letters) in an email to complaints@wcc.vccs.edu. Please include your full name when you submit supporting documents.

My signature below indicates that I have followed the Grievance Procedure set forth in the Wytheville Community College Catalog and Student Handbook and that I affirm that the statements herein are true and complete to the best of my knowledge. I further acknowledge that intentional falsification of the details of a Grievance Report is considered a violation of the Student Code of Conduct and will be addressed accordingly.

Date