NY Free Community Acupuncture Clinics- May 2024

By submitting this form, you attest that the concern or complaint is an honest account of what transpired and agree to allow Pacific College to review and investigate the matter.

The college recognizes that confidentiality is important. The college will make every effort to respect the confidentiality and privacy of all parties involved. When looking into the matter, particularly when a grievance is filed, the school will pay attention to any due process or other rights the accused might have.

The Preferred Name Request form enables students, faculty or staff who wish to identify by a chosen name other than their legal first name the opportunity to request their first name be updated in our systems for the purpose of being seen and referred to by their preferred name. Last names can only be changed by legally changing your name through the court system. Please note that Name Change Request must be approved by the college administration and once approved, may take 7-10 business days to go into effect in our systems. Please refer to the College’s Preferred Name Policy for more information.