EmailMeForm
Shaw Univeristy Student Complaint Form
The complaint form is used for students 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
Submission Date
*
MM
/
DD
/
YYYY
Phone
*
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Major
Advisor Name
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
Custodial Services
Maintenance
Financial Aid
Personal Records
Grades
Food Services
Library
Safety and Security
Housing
Other
Student
Student Activities
IT Services
Instructor
Discrimination
Sexual Harrassment
Disciplinary Action
Student Services
Classroom
Non- Academic
Health Services
Chapel
Mailroom
Provide a statement that briefly and clearly outlines the nature of your complaint.
*
What remedy or corrective action are you requesting?
*
