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Student Concern Form
Student Concern Form
INTERNAL USE ONLY
If a student or customer is requesting a refund, fill out the form below to send to accounting.
Submitted By
(Required)
Select One
Select one
KjSteir
Glory Solomon
Ruby Reyes
JemarieRubilla
FrilynParan
CharlesSalarda
Name
(Required)
First
Last
Phone
Email
Student’s Concern
Class Schedule
Course Access
Coaching Issues
Sickness
Refund Request
Course Materials
Date
MM slash DD slash YYYY
Briefly Describe Why The Customer Is Requesting A Refund
(Required)
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