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Student Complaint Form
Please complete the following form.
Date event occurred *
Student first name *
Student last name *
CNM Student ID No.
Check one *



Identify the category of your complaint (check all that apply) *
 



Describe the issue or concern (be specific regarging who, what, when, and where) *
 
Have you talked with staff or the instructor regarding your concern? (if yes, please describe the outcome) *
 
STUDENT CONTACT INFORMATION
Street address *
City *
State *
Zip code *
Phone *
myCNM Email Address*
When address my concern (check one) *
 

How did you find out about this process? *
 
Today's date *
 
Please PRINT THIS FORM before pressing the Submit button as confirmation
 


CNM will not allow any form of retaliation against individuals who file a complaint to CNM management, or who cooperate in the investigation of such reports. To the extent possible, the confidentiality of the reports will be maintained.
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