Student Complaint Form

Lasell University is committed to offering excellent education and student experience of the highest quality. In the event that you have a serious complaint against the University relating to distance education, the first step you should take is to inform the University by completing this form.

To initiate a complaint, a student must complete and submit this form. If you have any questions regarding this form or the status of the complaint/inquiry, please contact Michelle Niestepski, Dean of Student Success, or Chrystal Porter, Provost and Vice President of Academic Affairs.

Student Information

First Name

Last Name

Email Address

Phone

Address

Country

Street

City

Region

Postal Code

Complaint Information

Please describe your complaint in detail. Include all relevant names or pertinent information.

Submit any documents you wish to submit to support the facts set forth in this form.

Describe any actions you have taken to resolve this matter.

Course Information

Course Title

Course Code (Ex. MGMT702)

Start Date of Course

Semester

Instructor's Name

Course Format

Online

Hybrid

On Campus

Signature
(Please type your full name here)

Lasell University

1844 Commonwealth Ave, Newton, Ma. 02466