Academic Integrity

Comments

This field is for validation purposes and should be left unchanged.

Name(s) of Student(s) Involved

First Name

Last Name

Student ID Number

Instructor Name

First Last

Instructor Email

Course Title & Number

Instructor Phone Number

Date of Incident

Description of Incident

Please provide a description of the incident.

Faculty Action

Please check all that apply.

Warning

F for the Course

Lower Grade on the Assignment/Exam

Resubmitting an Assignment

Zero on the Paper/Assignment/Exam

Other

Please Describe Action Taken.

As the Faculty Member, I have:

Met with the student(s) to discuss the alleged academic integrity violation.

Not met with the student(s) to discuss the allegation.

Date of Meeting with Student

Please Provide Rational for Not Meeting with the Student.

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