RSIF PASET | Feedback - The PASET Regional Scholarship and Innovation Fund

RSIF GRIEVANCE REPORTING FORM

The purpose of this form is to report a grievance that remains unresolved after notifying RSIF’s Implementing Unit (RCU). Therefore, in most instances you should have contacted the RCU for assistance prior to completing this form.

Complete The Form

Institution *

Name *

First

Last

Preferred Phone No.

Email *

Which RSIF stakeholder is the grievance related to (Check all that apply):

RCU
RSIF Host University
RSIF Partner Institution
Other

In the space below, state your grievance. Be as specific as possible. If this is an academic grievance include the host university and advisor’s name. Please identify any specific policy or procedure you believe was applied to you unfairly, or the basis for any claim of unlawful discrimination against you (for example, race, sex, disability, etc.). Describe the basis of your grievance using as many factual details as you can (include the person(s) involved, the date and the approximate time). If you need additional space, please attach a brief statement to this form. *

File Upload

Click or drag a file to this area to upload.

If you have attached any documents to this form, please list them in the space below and indicate how they support your grievance.

In the space below, please state the remedy you are seeking. *

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