Academic Integrity Reporting Form

Academic Integrity Reporting Form

Reporting faculty are required to meet with students to discuss the allegation and proposed sanction. We will also provide you with an Academic Integrity: Student response letter. No student may be penalised for a violation until the documents have been reviewed and the student has either accepted responsibility or completed an appeal process.
Student Name

First NameLast Name
Student area of work and job title
Student email address
example@example.com
Form of academic dishonesty
Level of the infraction
Date of infraction

MonthDayYear
Date
Course name
Cohort
Please describe the infraction being reported
Proposed sanction
If other is selected regarding the proposed sanction, please provide a summary of the sanction being provided
Has the student been met with?
Has the student seen the Academic Integrity (plagiarism) Policy?
Do you have any concerns regarding student's mental well-being?
Please add any additional comments or information about the meeting here
Please upload any supporting evidence, letter of explanation, certificate from GP, Line Manager statements. Any 3rd person discussed in the attachments must be aware they are being discussed.
File Upload

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Name

First NameLast Name
Signature

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Date

MonthDayYear
Date
Name

First NameLast Name
Signature

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Date

MonthDayYear
Date
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