Age Act Committee Submission

Charged by the Office of the Provost, the Age Act Committee is responsible for addressing concerns about students’ access to, or participation in, any University program or service based on age.

Age Act Committee Submission Form

Name of University Employee Submitting Form*
Your Email*
Phone*
Name of Student
Current Age of Student
Student's Date of Birth
Student's PeopleSoft ID
Brief description of Univeristy program or services at issue
Reasonable Deadline for Committee Decision
Note: Committee reserves up to 45 days for deliberation
Department Head/Program Director
Please provide a list of University officials who can provide information about the nature of this program or services, their title and/or relationship with the program and contact information. Please list yourself, if applicable.
Email
This field is for validation purposes and should be left unchanged.

Office of Institutional Equity

Age Act Committee Submission Form

Storrs & Regional Campus Contact Information

UConn Health Contact Information