Honor Code Violation

Instructor Information

Please complete with your information as the course instructor submitting the report.

Your full name:

Your position/title:

Your phone number:

Your HPU email address:

Email address must be of a valid format.

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Date of incident(Required):

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Location of incident(Required):

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Please select which college/school the course is housed in.

Involved Parties

Please provide as much information as possible about those involved.

Name or Organization

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ID Number

Violation Description

Please provide all relevant details regarding this alleged violation of the Honor Code.

In which Department did this alleged violation occur?(Required) This field is required.

Who is the Dean of the College in which the alleged violation occurred?(Required) This field is required.

Describe the violation:(Required) This field is required.

Was the Department Chair and/or Dean notified of the alleged violation?(Required)

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You must make at least one selection.

Have you discussed this matter with the student prior to submitting this report?(Required)

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If you have discussed, please provide a synopsis of this interaction. This field is required.

Have you attached a copy of your course syllabus and a description of the assignment in question?(Required)

Yes No

You must make at least one selection.

Class Name, Section, and CRN(Required) This field is required.

If this case must appear before an honor board, do you wish to attend, if scheduling allows? If you are unable you attend you will be allowed to submit a written statement, and the hearing officer will contact you with any questions regarding the case.(Required)

yes no

You must make at least one selection.

Please list your availability for attending an honor board hearing by day of the week and times available. If you have opted not to attend, please enter "n/a".(Required) This field is required.

Supporting Documentation

Please provide the following documentation before submission: * A syllabus for the class in question * Any relevant information (tests, papers, lab reports, etc.) * Other supporting documents (if submitting emails, please copy and paste into a word document) 1GB maximum total size. **Please know that your referral represents your investigation. Include as much detail in the description or as many docs or photos as needed. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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Instructor Information

Involved Parties

Violation Description

Supporting Documentation

Submission