Academic Integrity Form

Faculty First Name(Required)

Faculty Last Name(Required)

Faculty J-School Email Address(Required)

Student's Full Name(Required)

Student EMPLID

Semester(Required)

Course Title(Required)

Date of Incident(Required)

Please describe the incident below.(Required)

Have you spoken or otherwise communicated with the student about the alleged violation?(Required)

What was the student's response?(Required)

Please upload any supporting documents that you might have

Max. file size: 5 MB.

Is there anything else you want us to know?