Before submitting this form, please read CCRI's grievance policy in the student handbook.
Note: please fill out all fields before submitting this form.
Please send all files pertaining to your grievance as an attachment in an email to email@example.com
Your CCRI ID# is the 8-digit number below your name on your CCRI ID. The number is also known as a banner ID, student ID, or employee ID. If this information is not available, leave this field blank.