Coppin Concerns Form Your Information First Name Middle Name Last Name CSU ID Number Major and Expected Graduation Date N/A if not applicable CSU Email Address CSU Email Address Confirm email Phone Number Your Concern Description of selections for Division/Department/Office: Academic Affairs: includes faculty, staff, and administrators concerns Enrollment Management & Student Affairs: includes financial aid, housing, student hardship, and records and registration concerns Division/Department/Office involved - Select -Academic AffairsAdministration and FinanceInstitutional AdvancementInformation TechnologyPresident’s OfficeEnrollment Management & Student AffairsOther Preferred Method of Contact Email Phone Date Issue Occurred Name of Individual Involved Please describe your concern in detail. Include the names of persons, locations, and dates involved. If this concern involves a specific person, please list their names and titles. What attempts have you made to resolve this concern up to now? Please state who you contacted and what transpired. Is there any other information you want to provide? Upload a file? Upload One file only.20 MB limit.Allowed types: gif jpg jpeg png bmp tif pict txt rtf odf pdf doc docx avi mov mp3 mp4 wav gz jar rar tar zip. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
