Please submit this form only if the institution involved is listed on the following link: http://nc-sara.org/states/GA.
Note: this complaint form is applicable to students who attend either a public or private (not-for-profit or for-profit) with its principal campus or central administrative unit domiciled in Georgia.
*I acknowledge I have read and understand the following documents:
(*Indicates Required Information)
*Name of Institution
*Institution Address (Street, City, State, ZIP Code)
*Institution Phone Number
*Date of Last Attendance or of Incident:
Please explain the desired outcome you expect regarding your complaint:
Have you followed the institutions appeals/or complaint process to resolve your complaint(s)?
Note: the student must have exhausted the institution's complaint and/or appeal process before GNPEC will attempt to help the student establish any possible resolution with the institution.
Explain the circumstances that led to your complaint. Be as specific as you can about your concerns and include all the information relevant to your complaint.
*Describe your efforts to resolve this complaint with the institution. Be as specific as you can, including dates, institutional staff with whom you spoke to regarding your complaint, and the school’s response. Please include all information relevant to the complaint. (Upload any supporting documenatation. Acceptable formats: .pdf, .doc, .docx, .odt, .txt, .jpeg, .png, .gif, .jpg).
Have you filed this complaint with any other organization?
If complaint was filed, please identify the organization(s) and the outcome.
GA-SARA will use the information you provide as part of its efforts to resolve your complaint. By submitting this complaint, you give consent to the GA-SARA to contact the institution(s) on your behalf to gather information that may be needed to review your complaint. Your consent includes referring complaints to another organization with jurisdiction and authority over the issue.
*By submitting this form, I agree that the information given in this complaint is true and accurate to the best of my knowledge, and I agree that I will provide any additional requested information or respond to questions from GA-SARA related to the review of my complaint. I understand that if I fail to provide requested information or respond to questions, GA-SARA may dismiss my complaint.
*Please enter the following code: