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ES4670 Page 7 ACADEMIC MISCONDUCT REPORT FORM Use this form to report academic misconduct and/or the sanction imposed Academic Misconduct Procedure ES 4670 Part 1. Student's Name Student ID # Course
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How to fill out academic misconduct report form

How to fill out an academic misconduct report form:
01
Read the instructions: Start by carefully reading the instructions provided on the academic misconduct report form. This will give you a clear understanding of what information needs to be included and how the form should be completed.
02
Provide personal details: Begin by filling out your personal details such as your name, student ID number, contact information, and any other requested identification information. Ensure that all the information provided is accurate and up to date.
03
Specify the incident: Describe the academic misconduct incident in detail. Include relevant information such as the date, time, and location of the incident. Provide a clear and concise account of what occurred, making sure to include any supporting evidence or witnesses if applicable.
04
Identify the individuals involved: Provide the names and contact information of all individuals involved in the incident, including the accused student(s), witnesses, and any faculty or staff members who may have been present or have knowledge of the incident.
05
State the academic policies violated: Specify the academic policies or rules that have been violated during the incident. This can include plagiarism, cheating, unauthorized collaboration, or any other forms of academic dishonesty. Refer to your institution's academic misconduct policy for guidance on which policies apply in your situation.
06
Attach supporting evidence: Include any supporting documents or evidence that substantiates your claims. This may include screenshots, emails, witness statements, or any other relevant materials that can help provide a comprehensive understanding of the incident.
07
Sign and date the form: Once you have completed all the necessary sections of the academic misconduct report form, sign and date it. By signing the form, you are verifying the accuracy of the information provided and acknowledging your responsibility in reporting the incident.
Who needs an academic misconduct report form:
01
Students reporting academic misconduct: If you have witnessed or been a victim of academic misconduct, you may need an academic misconduct report form to officially document the incident and report it to the appropriate authorities within your educational institution.
02
Faculty and staff members: Academic misconduct report forms are also required by faculty and staff members who become aware of or suspect any form of academic dishonesty. It is their responsibility to report such incidents to protect the academic integrity of the institution.
03
Academic misconduct committees: Academic misconduct report forms may be needed by academic misconduct committees or disciplinary boards within educational institutions. These committees are responsible for reviewing and addressing reports of academic misconduct and determining appropriate actions or penalties.
In conclusion, filling out an academic misconduct report form requires careful attention to detail, accurate information, and supporting evidence. It is necessary for students, faculty, staff, and academic misconduct committees to have access to these forms in order to address and resolve instances of academic misconduct effectively.
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What is academic misconduct report form?
The academic misconduct report form is a document used to report instances of academic dishonesty or misconduct.
Who is required to file academic misconduct report form?
Faculty members, teaching assistants, or academic administrators are typically required to file the academic misconduct report form.
How to fill out academic misconduct report form?
The form usually requires details about the alleged misconduct, evidence supporting the allegation, and information about the individuals involved.
What is the purpose of academic misconduct report form?
The purpose of the academic misconduct report form is to document and address instances of academic dishonesty in educational institutions.
What information must be reported on academic misconduct report form?
Information such as the date of the incident, names of individuals involved, details of the misconduct, and any supporting evidence must be reported on the form.
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