Academic Integrity Violation - Undergraduate

ACADEMIC INTEGRITY VIOLATION REPORT

Academic Integrity Policy

UNDERGRADUATE FORM

Use a separate form for each student and each incident.

The student will be sent a warning letter along with a copy of this report.

Student Name*

First Name

Last Name

Student ID#*

Instructor Name*

First Name

Last Name

Instructor Email*

Date of Violation*

Prefix & Course Number*

For example: ENGL121

Course Name*

Description of violation*

Summary of conversation with student*

Outcome or penalty*

Instructor met with chair/dean on*

Instructor met with student on*

Please provide supporting documentation for the violation as a PDF file. This might include items such as the student’s paper along with the Turnitin report, copies of the web pages utilized, a copy of two similar assignments, comparison of the student’s work with a solutions manual, etc. If you have more than one PDF document please submit them individually*

No File Chosen

File uploads may not work on some mobile devices.

Additional PDF document

No File Chosen

File uploads may not work on some mobile devices.

Additional PDF document

No File Chosen

File uploads may not work on some mobile devices.

Your report and accompanying files will be automatically sent to the Associate Academic VP (AAVP) for review. Once reviewed, the AAVP will contact you if any clarification is needed. A copy of the information you submitted along with a cover letter from the AAVP will be emailed to the student.

You will receive a copy of your submission to the email provided on the form.