Academic Integrity Referral

Background Information

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Your full name:

Your department:

Your phone number:

Your UNCG email address:

Email address must be of a valid format.

Date of Alleged Violation(Required):

This field is required.

Semester Violation Occurred:

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Type in the semester and year without spaces (Ex. Spring2021)

Location of incident(Required):

This field is required.

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Select the department in which the violation occurred

Course Number and Section:

Involved Parties

Please list yourself and all individuals involved. For faculty, please input your UNCG username as the SID.

Name

Select Role

ID Number

Incident Information

Please provide a description of the information giving rise to the allegations.

Explanation/Description of the Violation(Required) This field is required.

Academic Integrity Violations(Required)

Cheating Facilitating Academic Dishonesty Falsification Misuse of Academic Resources Plagiarism Unauthorized Behaviors

You must make at least one selection.

The alleged violation occurred in (course number and section)(Required) This field is required.

The alleged violation occurred during (semester)(Required) This field is required.

The sanction proposed for this violation is (Please include grade-related sanction and any educational experiences imposed)(Required) This field is required.

Supporting Documentation

Please upload all supporting documentation, including a copy of the course syllabus, to this section. PDF format is preferred, but not required. Faculty are also welcome to email supporting documentation (such as emails with respondents or witnesses) to deanofstudentsoffice@uncg.edu following submission of this report. 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

Incident Information

Supporting Documentation

Submission