EmailMeForm
Shaw University Complaint Form (Non-Students Only)
The complaint form is used to submit a grievance for any issue or concern you would like to be reviewed based upon the Shaw University Grievance/Complaint Policy.
Name
*
First
Last
Email
*
Student ID Number
If applicable
Submission Date
*
MM
/
DD
/
YYYY
Phone
*
###
-
###
-
####
Major
If applicable
Advisor Name
If applicable
Pertinent Information
Please provide as much detail as possible in this section. Any information you may provide may assist in resolving your issue/concern.
Name(s) involved
Name (s) involved
Please provide names of all involved in your concern /issue.
Date(s) of incident(s):
*
Date of incident(s)
Please enter the date of the incident.
Please indicate the type of complaint:
Select all that apply
Library
Maintenance
Financial Aid
Mailroom
Food Services
Personal Records
Grades
Instructor
Student Activities
Other
Student Services
Disciplinary Action
Health Services
Student
IT Services
Sexual Harrassment
Safety and Security
Non- Academic
Classroom
Custodial Services
Chapel
Housing
Discrimination
Provide a statement that briefly and clearly outlines the nature of your complaint.
*
What remedy or corrective action are you requesting?
*
