Student Grievance

Contact Information

Please complete all of the information below so that you can be contacted regarding this report. If you choose not to include your information, it may greatly limit how we can process your grievance.

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Full name:

Your position/title:

Phone number:

Email address:

Email address must be of a valid format.

Your physical address:

Type of Grievance(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Department/Office of Grievance(Required):

This field is required.

Dept/Office Representative:

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Please indicate the specific person you have been communicating with.

Involved Parties

Please list any students or staff members that have been involved in this concern. You will want to include yourself.

Involved party 1

Name or Organization

Role

ID Number (only of person completing report)

DOB (YYYY-MM-DD) (only of person completing report)

Phone number

SLU Email address

Grievance Narrative

Please explain your grievance and be as specific as possible. Include any University personnel with whom you communicated within that particular Department/Office.(Required) This field is required.

Please describe what you have done, if anything to resolve this matter.(Required) This field is required.

What is your preferred outcome to this matter?(Required) This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission