Academic Dishonesty Reporting Form

Background Information

Enable additional features by logging in.

Your full name:

Your affiliation with CPP:

Learn more

E.g. staff, faculty, student, community member

Your phone number:

Your email address:

Email address must be of a valid format.

Date of incident(Required):

This field is required.

Course Number (REQUIRED):

Learn more

e.g. HST 2202

Involved Parties

Please list the individuals involved, excluding yourself. The Bronco ID Number MUST include all nine digits.

Name

Select Role

Bronco ID Number

Questions

What is your Department?(Required) This field is required.

What is your College?(Required) This field is required.

What is the modality for this course?(Required) This field is required.

Has the student(s) been notified of the academic dishonesty, including notice that you have submitted this report to Student Conduct & Integrity? Student Conduct & Integrity strongly encourages this so the student is aware of the incident before receiving correspondence from our office.(Required)

Yes No

This field is required.

What academic action have you taken? (If there are multiple students involved please list academic action for each student in the incident narrative below).(Required)

Issued an F in the course Zero on the assignment Partial credit on the assignment Other (please describe in the incident narrative below) None

You must make at least one selection.

Please provide a detailed description of the incident using specific and concise, objective language (who, what, why, where, when, how, etc.). Note: in some instances, a member of SCI may contact you directly for additional information as part of the investigation process.(Required) This field is required.

Do you recommend further action from the University?(Required)

Yes. By selecting this option, Student Conduct & Integrity will meet with the student to determine if a violation of the Student Conduct Code occurred and will assign outcomes when appropriate. No. By selecting this option, Student Conduct & Integrity will notify the student they were reported for Academic Dishonesty. Please note, Student Conduct & Integrity takes this recommendation into consideration when determining further action and may meet with the student when appropriate.

This field is required.

Supporting Documentation

Please submit copies of any relevant materials such as: course syllabus, plagiarized writing assignment, cheat sheets, turnitin.com report, email correspondence, etc.

If you have physical evidence that can't be uploaded, you may bring it to the Office of Student Conduct & Integrity located in the Student Services Building, Building 121, Suite 2560.

The file size limit of attachments is 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Background Information

Involved Parties

Questions

Supporting Documentation

Submission