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)
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_______________________
Processed by__________________________________ Date_________________________________
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