Attention: Please do not use nicknames. If you are a student of SLBC, then please use only your legal name, as submitted on your Application form, on all forms submitted to SLBC.

Feedback Form

ATTENTION MOODLE STUDENTS
If you are registered with our Moodle site DO NOT
use this form. Goto the SLBC Moodle site and
submit only forms from that site.


Please fill out the following information and click the submit button. "*" indicates mandatory fields.

What kind of feedback would you like to send?

*Type of Feedback:
Complaint Problem Suggestion Praise Inquiry Other:
*First Name:
First Name is defined as your given name. Not your family name.
*Last Name:
Last Name is defined as your family name. Not your given name.
*Email:
*Verify Email:
*What specific subject?: Other:  
*Urgency:
 
*Response Required:
 
*Comments/Questions/Concerns:

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