Submit a Complaint (Student) - Crowley's Ridge College

Title IX Discrimination Complaint Form for Students

Name:

Complaint Type:

Phone:

Dorm Supervisor:

Home Address:

Have you brought this matter to the attention of any other department(s) at the college? If so, please list the name(s) and department(s) of all other persons with whom you have discussed this matter:

Complaint:

100 College Drive
Paragould, Arkansas 72450 USA
(870) 236-6901

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