National College of Midwifery
Public Comment about an NCM Faculty Member
If you have a comment about an NCM faculty member please fill out this form. (Students should complete this within the trimester evaluation system in Canvas. Staff should complete this within the Classe365 Staff Evaluation of Faculty Form.)
Step 1
Commenter's First Name
*
Commenter's Last Name
*
Commenter's Email
*
Commenter's Phone Number
*
Please input only numbers.
Faculty Member's First and Last Name
*
Fill this out if you have a positive comment.
*
Give a brief recommendation or overview of the situation.
General Area of Concern
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Communication Style
Timeliness
Falsification of Records
Copyright Violation
FERPA Violation
HIPAA Violation
Hazardous Waste Violation
Bullying
Oppression (Racism; Sexual Orientation; etc)
Other (Please Explain)
N/A
Other General Area of Concern
*
Give a brief overview of the situation which caused the aforementioned concern if applicable.
*
Submit
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