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Academic Honesty Form

Faculty should complete the following Academic Honesty Form to report academic dishonesty issues to eCore Administrative Services.

First Last
Student Name
Home Institution

 

Assignment/Activity etc.

Offense
(Select all that apply)

Plagiarism Falsification
Cheating on Examination(s) Multiple Submissions
Unauthorized Collaboration Evidence and Burden of Proof
Assignment or Course Grade Affected (Select all that apply)
Assignment/ Activity Grade Both
Exam Other (Please explain)
Course Grade
Method of Detection of Academic Dishonesty
Turnitin Test Site Proctor
Google Other
Comments/Details of Offense
(include plagiarized areas for example)