Violation of Academic Integrity Report

Standards of Academic Integrity:

http://www.albany.edu/undergraduate_bulletin/regulations.html

If this involves a graduate student, please contact cdavis@albany.edu.

Please Note: A copy of this form will be sent to each email address filled out in this form.

Date *

Date

Semester *

e.g., Fall 2019

Student's Name *

First Name Last Name

Student's ID *

e.g., 001234567

Name of faculty or administrator making report: *

First Name Last Name

Email *

*A copy of this form will be sent to this email

Department or Program: *

Subject & Catalog Number: *

e.g., AMAT 108

Class number: *

e.g., 9568

Section:

e.g., 1

Category of violation: *

Plagiarism Cheating on Examinations Multiple Submission Forgery Unauthorized Collaboration Falsification Bribery Theft, Damage, or Misuse of Library or IT Resources

Description of violation: *

What evidence do you have to support the conclusion that the student has violated academic integrity? (Upload copies of evidence below, if available.) *

Upload copies of evidence, if available (no .zip files)

Browse Files

What sanction have you imposed for the violation? (NOTE: When an academic sanction is imposed, the student may not drop or S/U the course.) *

Describe the nature and extent of the discussion you have had with the student concerning this violation. *

Please indicate next steps: *

No further action I request that this matter be referred to Community Standards

The individual filing this report is responsible for sending copies of this report and supporting documentation to:

Student
Department chair or program director
Dean of the School of College
Undergraduate Vice Provost

To send automatic copies of the report to these individuals, please fill in the appropriate email addresses below.

Student Email *

*A copy of this form will be sent to this email

Department Chair/Program Director Name *

First Name Last Name

Department Chair/Program Director Email *

*A copy of this form will be sent to this email

Please choose your College or School (Your Dean will receive a copy of the form) *

Calculation

By checking the box below, you are sending a copy of the form to the Vice Provost *

Check here to send a copy of this form to the Vice Provost Dr. JoAnne Malatesta

NOTE: Students who feel they have been erroneously penalized for an academic integrity infraction, or who think that a penalty is inappropriate, may make use of the grievance procedures, beginning with the Department and the College/School where the course was offered. Please visit: www.albany.edu/undergraduate_bulletin/regulations.html for additional information on the grievance process. If after reading this information you have further questions, please contact the Office of the Vice Provost for Undergraduate Education (LC 30) to make an appointment to discuss the process.

Please verify that you are human *

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