Information Item #2 - Submitted by the Academic Standards Committee          (2012-2013/April)

 

 

The Academic Standards Committee has revised the Academic Misconduct Reporting Form in order to 1) bring the form in line with the possible penalties stated in the Misconduct Policy and 2) clarify to whom the form needs to be submitted after it has been completed.

 

University of North Florida 

Academic Misconduct Reporting Form

 

Upon completion, please forward this form to the Executive Assistant to the Provost in Academic Affairs. The faculty member and the appropriate department chair should always sign the form. The appropriate College Dean will also sign the form if the recommendation is for the temporary or permanent loss of a University facility or for suspension. The Academic Vice President will also sign the form if the recommendation is for expulsion from UNF.

 

Student's Name_________________________________ Number____________________________

 

Term/Year__________________________ Course Number/Section__________________________

 

Faculty Name_______________________ Date of Incident_________________________________

 

Nature of Incident: 

 

 

 

 

 

 

 

 

Penalty(ies) Assigned or Recommended (check all that apply)

  • Referral to the appropriate support service (Counseling, Advising, other assistance). Please clarify:
  • Assignment of a grade reduction on an academic exercise.

          Original Grade______ New Grade ______

  • Assignment of a final letter grade reduction for the course. 

         Original Grade______ New Grade ______

  • Assignment of an unforgivable 'F' for the course (will permanently remain in the academic record).

  • Referral to Student Affairs for a violation of the Student Conduct Code.

  • Loss of a University facility 
         For a time period of ____________ or permanently (Requires approval of Chair and Dean)

     

  • Recommendation for suspension from College/Department/Program (circle) 
         For time period of ______________ or permanently (Requires approval of Chair and Dean)

  • Recommendation for expulsion from UNF (Requires approval of Chair, Dean, and 
    Academic Vice President)

I affirm by my signature that I understand the rights and options as described in the Academic Misconduct Policies.

 

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_________________________________