Academic Integrity Council Appeal

Background Information:

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Your full name:

Your M# (include the M):

Your phone number:

Your email address:

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Your physical address:

Date of incident(Required):

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Department(Required):

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Course Prefix/ Number:

Details:

Grounds for Appeal:(Required) This field is required.

Do you have any witnesses, with direct knowledge of the incident, that you would like to request permission to appear at the hearing? If so, please list their name and explain why/how they have direct knowledge of the incident. This field is required.

Do you want to request permission for an interpreter or advisor to appear at the panel hearing with you? If so, please list their name and explain their role. This field is required.

Please indicate all times of the week you, your witness(es), your advisor, and/or your interpreter are generally available for at least 1 hour between the hours of 8:00 am and 5:00 pm, Monday - Friday (please provide at least five day/time options to make it easier to find a time that everyone is available):(Required) This field is required.

Supporting Documentation

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Supporting Documentation

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