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
Non- Academic
Financial Aid
Chapel
Custodial Services
Sexual Harrassment
Student Services
Classroom
Disciplinary Action
Safety and Security
IT Services
Instructor
Library
Food Services
Student Activities
Student
Maintenance
Grades
Housing
Mailroom
Personal Records
Discrimination
Other
Health Services
Provide a statement that briefly and clearly outlines the nature of your complaint.
*
What remedy or corrective action are you requesting?
*
