Today’s Date:
Faculty/Reporter’s Information
Name:
Department:
Campus Address:
Extension:
Email Address:
Course Information
Course Title:
Course Number and Section:
Date of Offence:
Details of Relevant Course Work:
E.g. - an essay worth 30% of course, an exam worth 50%
Student Information
Name:
ID Number:
Email Address:
Faculty the student is registered in:
Offence Information
-
Plagiarism
Cheating on a test or exam
Improper collaboration
Submitting the work of others
Multiple submissions of the same material
Falsification of data
Impersonation of another student
False medical documents
Alteration of a grade
Alteration or fabrication of transcripts or official documents
Misrepresentation of academic credentials
Aiding another student to commit academic dishonesty
Mishandling of academic materials (e.g. preventing other students from completing academic tasks, selling or distributing tests, etc.)
Other
Provide a brief description of the offence (facts leading you to be suspicious, steps you took to investigate, student’s explanation, etc.). Please send the originals of all related papers to the Office of Academic Integrity – MUSC 211.
Questions? Please contact the Office of Academic Integrity x24303