Submit an Issue or Concern

Submit an Issue or Concern to the Staff Senate

Your Contact Information:

A hardcopy version of the form is also available.

Mail To:
NC State Staff Senate
NCSU Campus Box 7545
Raleigh, NC 27695

Name of Person Raising the Issue:
Email of Person Raising the Issue:
US or Campus Address of Person Raising the Issue:
Phone Number of Person Raising the Issue:

Date:
Title of Issue of Concern:
Description of Issue:
Senator Representing Your District: (find your Senator)
Senator Presenting an Issue on Behalf of: