Lumos Complaints form

Lumos Language School - Complains Form
Lumos Language School drives to reach the highest possible standards in its services to students. If you feel we have let you down, please complete this short form so that we can investigate your concerns. Before submitting a written complaint, you may find it hepful to read our Complaints Policy here.
Name *

First Name Last Name
Email *
example@example.com
Your I-20 Number *
Class or Department where the problem occurred

About your complaint
Date of incident

Day Month Year
Please give details of the incident and any staff, students or others involved. *
Resolving your complaint How would you like the complaint to be resolved?
Proposed resolution 1: *
Proposed resolution 2:
Please upload any evidence you would like to support your complaint.

Cancel of

Declaration I confirm that the information contained in this complaint is true and accurate to the best of my knowledge.
Signature *

Clear
Date *

Month Day Year
Should be Empty:

Lumos Language School - Complains Form