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Student Hand Book 2021-2022

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7. Desired Outcome

Please briefly explain what you would consider to be a satisfactory resolution to your complaint.

8. Declaration

All information and documentation provided in/with this form is complete and represents an accurate and true reflection

of the situation that led to my appeal. I understand that the submission of a falsified claim or documentation constitutes

an offense.

I agree that my complaint may be disclosed to relevant members of the University to the extent necessary for any

investigation, including any individuals who I have complained about or about whose services I have complained.

I authorize the investigating officer to consider this form and any relevant information held by the Windsor

University to the extent necessary for the consideration of my complaint.

I give permission for the University to seek verification of the authenticity of any statements or evidence provided with

this complaint.

Student signature:

Date;

Page | 105

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