Prior to initiating this process students are strongly encouraged to speak with faculty involved in their concern/problem. Students may also choose to speak with the Program Coordinator or the individual who oversees the degree program. Today's Date Student Information Student Name First Middle Last Student PSU Email Summary of Student Concern/Problem: Faculty member(s) involved: Related course(s): Please be specific in describing your concern/problem: Actions taken prior to initiating the Student Faculty Mediation Process Did you speak to the faculty member involved or the Program Coordinator who represents the discipline: Yes No Who did you speak with? What was the outcome? Please speak to the faculty member involved or the Program Coordinator who represents the discipline prior to moving forward with this process. CAPTCHA × Information message Thank you for completing this form. It is the goal of the committee to review the SFMP form within 72 hours of receiving it. Students will receive an email to schedule a meeting. Submit