BMCC Formal Complaint Form

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The formal complaint process may be utilized after all efforts to resolve informally have been exhausted. All formal complaints must be made in writing with the approved BMCC Formal Complaint form and process.  Formal complaints are to be submitted to the appropriate college employee for resolution. Please refer to Administrative Procedure 07-2014-001 for additional information.  For assistance, contact complaints@bluecc.edu

Complete all sections below and submit to the appropriate employee or office of the College. This form may be submitted electronically or downloaded as a pdf and submitted in hard copy via mail, fax (541) 278-5870 or in-person.

Please correct the field(s) marked in red below:

Name (Last, First, Middle)

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Street Address or P.O. Box

City, State, Zip Code

 *

Telephone Number

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Select options for calling your phone number:

Select options for calling your phone number:

Email Address

 *

Select options for sending email:

Select options for sending email:

Please indicate if you are:

Please indicate if you are:

If you are a current or former BMCC student, please provide the following:

Student ID number

Term and Year Last Attended


Complaint Information

Area of the College the complaint is about:
Area of the College the complaint is about:

If the complaint is about an instructor please add the following information:

Instructor's name

Class and Course #

Term and Year

If the complaint is about a staff member please add the following information:

Staff member's name

Department

Campus location where the issue occurred:
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Campus location where the issue occurred:

1. Describe how you have first attempted to resolve this issue through the BMCC informal complaint process:

Who have you talked with and when?

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What was the outcome and why are you now pursing the formal complaint process?

 

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Please note that BMCC will only investigate formal complaints after the complainant has first attempted to resolve the issue informally. 

2. Explain the circumstances of this formal complaint. Be specific in explaining your concerns; include dates and the names of individuals who may be involved. Please attach any supporting documentation or additional information you think is relevant to this form.
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3. Describe your attempts to resolve the issues leading to your formal complaint. Be specific in explaining your efforts; include dates, campus location, name of college employee(s), and names of college department. Include information about the college’s response to your complaint up to this point. Please attach any supporting documentation or additional information you think is relevant to this form.
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4. What would you consider to be an acceptable resolution to your complaint?
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5. Have you filed a complaint with any other organization or entity related to this formal complaint? 
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5. Have you filed a complaint with any other organization or entity related to this formal complaint?

If you answered yes to #5 above, please provide us with the name of the organization(s) and the outcome.

Blue Mountain Community College will use the information you provide here to assist with resolving your formal complaint to the best of our ability. By electronically signing this document and submitting a formal complaint, you consent to BMCC’s disclosure of any protected or confidential information that may be needed to review your complaint, including referring complaints to another organization with jurisdiction and authority over the issue.

The information given in this complaint is true and accurate to the best of my knowledge and I understand that if I fail to respond to requests for additional information or to questions about this complaint, the College may dismiss my complaint.

By checking the box below, I certify that the information given in this complaint is true and accurate to the best of my knowledge and I understand that if I fail to respond to requests for additional information or to questions about this complaint, the College may dismiss my complaint.

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Today's date (mm/dd/yyyy)

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