Transart Confidential Issues Form
Name
First Name
Last Name
Email
example@example.com
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If this is a personal issue not appropriate for a collegium meeting please first explain your privacy needs. If you do not wish to explain your issue in the form indicate how and with whom you wish to communicate it.
Please describe your issue here in full:
What type of action are you requesting?
Mediation
Meeting with Staff Member (specify below)
Meeting with Director
Bring issue to Collegium
Bring issue to Board of Advisors
Who would you like to contact you?
Additional information about requested action:
Have you tried to resolve your issue directly with person/s involved? If so describe in full:
What kind of support are you seeking for your issue and what does it entail?
What precisely is your desired outcome for your complaint?
Additional comments or questions:
Enter the message as it's shown
*
Submit
Should be Empty: