Saint Xavier University Logo

Student Complaint or Grievance Form

Students who have a complaint or concern related to a particular course should contact the appropriate faculty member to attempt to resolve the matter. If the student wishes to formerly aggrieve the assigned grade, the student should consult the course grade grievance procedure listed in the Academic Catalog: academic grievance

Complaints regarding sexual harassment, sexual violence or other types of gender discrimination should be reported to the Dean of Students. Students may also use this online form: Sexual Misconduct form

The Center for Accessibility Resources (CARS) has adopted a grievance process providing for the equitable resolution of complaints, within a reasonable time, for students with disabilities alleging violation(s) of their rights under the ADA and Section 504 of the Rehabilitation Act. Any student who feels his or her rights have been violated, should contact the Center for Accessibility Resources (CARS) in order to discuss and initiate the grievance process. CARS can be contacted at (773) 298-3308 or by e-mail at: mcdonnell@sxu.edu. Grievances may be filed for the following reasons: inaccessible program, discrimination based on disability, or accommodation denial.

This form may be used for all other grievances, complaints or concerns.

Background Information

Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Date of incident(Required):

This field is required.

Time of incident:

Specific location:

Involved Parties

Name or Organization

Select Gender

Select Role

ID Number

Email address

Questions

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.

Email me a copy of this report

Background Information

Involved Parties

Questions

Supporting Documentation

Submission