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