Welcome to the Chemistry Department Student Concern portal. Please answer the following questions so that we can appropriately address your concern:

First Name *

Last Name *

Email *

Course to which this concern applies, if relevant (ie. CHM 109 20):

Instructor to which this concern applies, if relevant:

Which of the following areas describe your concern? Select all that apply: *
Quality of teaching
Fairness of exams/quizzes/homework
Class policies
Instructor unprofessional behavior
Grade appeal
Bias
Conflict with another student
Other (please elaborate)

Please elaborate on "Other": *
Please enter at most 200 characters. You currently have:

What do you hope to achieve from submitting your concern? Select all that apply: *
I would like to have my concern registered with the Chemistry Department administration
I would like my concern to be communicated to my instructor anonymously before the semester is over
I would like my concern to be communicated to my instructor anonymously after the semester is over
I would like to discuss my concern with my instructor in a meeting mediated by a member of the department administration
I would like to appeal a grade or an academic decision made by my instructor
I would like help in overcoming a conflict with another student
Other (please elaborate)

Please elaborate on "Other": *
Please enter at most 200 characters. You currently have:

As a general rule, registering a complaint with the department is something you should do only after you have made a good-faith effort to work things out with your course instructor. In some cases however, that may not be possible. 

Have you discussed this concern with your instructor in person? *
- Select Option Yes (I will explain in one of the next two questions why I was not satisfied with the instructor's response) No (I will explain in one of the next two next questions why I do not feel comfortable with discussing this with the instructor)

Please describe the concern that you have, including what the instructor can do to alleviate your concern. Be aware that, if you indicated so above, what you write in this area will be communicated to your instructor (anonymously): *
Please enter at most 2000 characters. You currently have:

If you have other concerns that you would like to share with the department but do not wish to be communicated to the instructor, please write them here: *
Please enter at most 2000 characters. You currently have: