University of North Florida
Academic Misconduct Reporting Form
Student’s Name____________________ N Number________________________________
Term/Year_____________________ Course Number/Section_______________________
Faculty Name____________________Date of Incident______________________________
Nature of Incident:
Penalty(ies) Assigned or Recommended
Retain in College records
Grade reduction on assignment
Final letter grade reduction (grade change required). Original grade_____ New grade_____
Retain in Enrollment Services
Unforgivable “F” (will permanently remain on the transcript)
Recommendation for suspension from College/Department/Program (circle those that apply)
For time period of ________________ or Permanently (Requires aproval of Chair and Dean)
Recommendation for expulsion from UNF (Requires approval of Chair, Dean, and Academic Vice President)
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I affirm by my signature that I understand the rights and options as described in the Academic Misconduct Policies.
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Faculty Member Signature ______________________ Date____________________________
Signature of Chair _____________________________ Date___________________________
Signature of Dean (if required)____________________ Date___________________________
Signature of Academic Vice President (if required) ____ Date___________________________
Office Use
Processed by___________________________ Date________________________________ |
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