Complainant's Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Educator Preparation Program's Information
The name of the educator preparation program
Complainant's relationship to the EPP named above:
Adult learner
Faculty/Staff
Other
Current status of relationship with EPP:
Enrolled adult learner
Graduated adult learner
Terminated faculty/staff or adult learner
Employed faculty/staff
Resigned faculty/staff
On leave faculty/staff
Other
Complaint Details
Please state the nature of the complaint as succinctly and clearly as possible.
Please describe the details of your complaint, including the time frame in which the events occured.
Please list the steps taken to resolve your complaint, including relevant grievance and appeals processes at the program.
Please title and list the documentation relevant to your complaint (correspondence, etc.) and then upload it in the space below.
Please upload documentation included relevant to your complaint.
Browse Files
Cancel
of
Please confirm:
I have read MACTE's complaint policy and procedures.
I certify that I have exhausted my program's complaint policy procedures prior to filing this complaint.
I authorize MACTE to provide my complaint and documentation to the EPP and other pertinent organizations.
I certify that all of the information I have provided is true and complete to the best of my knowledge.
Signature
Date
-
Month
-
Day
Year
Date
Submit
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