Student Complaint Form

1Student Information

Full NameStudent IDEmail AddressPhoneDegree / ProgramCurrent Term

Preferred Contact

Email Phone

Date Submitted

I am submitting this complaint anonymously.

FEBI permits anonymous grievances; however, anonymity may limit its ability to contact you, obtain information, or work directly toward resolution.

3Description of Complaint

Describe what occurred, including dates, people involved, communications, decisions, and important facts.

Attach additional pages to the PDF or email if necessary.

4Prior Efforts to Resolve the Matter

Have you already tried to resolve this concern? Yes No

Person / Office ContactedDate(s)Steps taken and response / outcome

6Supporting Documentation

List attachments or supporting records

Email supporting documents separately with your completed PDF. This form does not upload files or transmit any information automatically.

7Student Certification and Signature

I certify that the information provided in this complaint is true and accurate to the best of my knowledge. I understand that FEBI may need to share relevant information with appropriate institutional personnel or individuals involved to review and address the complaint.

Student Signature (type full name)Date

Signature is not required for an anonymous complaint.

Submission and Review: Save the completed form as a PDF and email it with any supporting documents to info@fullyequippedbibleinstitute.org, subject line “Student Complaint”; or mail to Fully Equipped Bible Institute, 8153 W. Cactus Rd., Peoria, AZ 85381. Under FEBI’s grievance procedure, the Vice President for Academic Affairs or designee acknowledges receipt and establishes a separate grievance file within ten (10) business days. Reasonable resolutions are ordinarily decided within thirty (30) days, subject to applicable policy and procedures. Consult the current Student Handbook for the complete grievance procedure. FEBI prohibits retaliation for good-faith reporting.

8For Institutional Use Only

Date ReceivedReceived ByAssigned ToAcknowledgment DateResolution DateStudent Notified (date / method)Final Disposition / File Reference

Recordkeeping: Complaint/grievance records are maintained separately from the student's academic record under FEBI's published grievance procedure.