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Student Complaint Form

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

Please note: This form may also be used to communicate compliments or affirmations of outstanding service and/or attitude from members of the CNM community.
Date event occurred  
/ /  
Identify category of your complain (check all that apply)
Student contact information
When addressing my concern (check one)



Today's date  
/ /   :

Please print this form BEFORE PRESSING THE SUBMIT BUTTON as confirmation.