Notification of Academic Integrity Violation

Appendix II

Office of Student Conduct and Integrity
Indiana State University

Academic Integrity Violation Report Form

This report is an informal record. The report may become part of a formal record if the above-named student is accused of an egregious violation of the Academic Integrity Policy or there is an additional violation. The report will not be released to any persons or agencies external to the University unless compelled by a civil or criminal court order.

Note: The student cannot drop a course with an academic integrity issue unresolved. The appropriate associate dean will have a dropped student's name restored to the course at the end of the term when an academic penalty is to be imposed.

Complete, print, sign, and deliver this form to the Office of Student Conduct and Integrity, Hulman Memorial Student Union, room 821. The instructor provides a copy to the student. The Office of Student Conduct and Integrity will forward a copy of the form to the appropriate academic dean.

Assistance with academic integrity questions may be referred to the appropriate associate dean ot the Office of Student Conduct and Integrity (extension 3800.)