Academic Integrity Panel Review Request

Background Information

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Your full name:

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Your phone number:

Your email address:

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Your physical address:

Date of AI Panel Hearing(Required):

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This is the date of the original Academic Integrity Panel Hearing

Department:(Required):

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Course Prefix/Number:

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(for example MTH 135)

DETAILS:

Reason for Requesting Review:(Required)

New and significant documentation (must attach below) Demonstrable and substantial procedural errors Sanction assigned was grossly disproportionate to the violation

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Rationale for Requesting Review:(Required) This field is required.

Supporting Documentation

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Email me a copy of this report

Background Information

DETAILS:

Supporting Documentation

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