Report a Problem Forms - Fort Scott Community College

We appreciate you taking the time to share your concern with us. Your feedback is important, and we take all concerns and issues very seriously. You may choose to remain anonymous when completing this form; however, please note that if we are unable to contact you, it may be difficult to gather additional information or provide updates regarding your report.

Do you wish to remain anonymous?(Required)

Yes

Name

First Last

Phone

Category of Concern / Complaint(Required)

Location of Concern(Required)

Example: Defined locations, building names, departments, personnel, students.

Date(Required)

Time

Description of Concern(Required)

Please give as much detail of the concern as possible.

File

Max. file size: 20 MB.

Please upload any files such as photos or documents about this concern.

Do you want to be contacted?

Yes

Your preferred contact

Please make sure to fill this in above if you have not done so yet.

I confirm that the information provided in this form is true and accurate to the best of my knowledge. I understand that submitting false, misleading, or hearsay information may limit the ability to address this concern appropriately. I also understand that any personal information I provide will be treated with respect and confidentiality to the extent permitted by law.(Required)

Yes

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