Spanish-American Institute
a not-for-profit, equal educational opportunity institution
voice:
240 West 35th Street, New York City, New York 10001
Serving International Students In New York City Since 1955
Complaint Resolution Log Form
Please answer all questions.
1. Name of Complainant
2. ID Number (if any): 3. Complainant Cell Phone 4. Complainant E-mail
5. Please Select One. What is this complaint about?
Curriculum Student Achievement Administrative Facilitues Equipment & Supplies Faculty Faculty Pronunciation Faculty Grammar Faculty Vocabulary Student Services Other Complaint Area. Describe Below.
6. Other Complaint Area. Please describe:
7. Complaint Description (including staff or faculty member name)
8. Describe Complaint Resolution
9. Date of Resolution: 10. Name of Personnel Responsible:
11. Complainant Notification Date: