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Conduct Reference Check

This form is required for all inquiries related to a student's disciplinary history maintained by Student Conduct and Academic Integrity. In order for this form to be processed you must attach a photo of your Carolina Card or government issued ID. If you have additional questions, please contact the Office of Student Conduct and Academic Integrity at 803-777-4333 or saosc@mailbox.sc.edu.

Since sharing information about your student record is protected by the Family Education Rights and Privacy Act of 1974, please review the following:

University of South Carolina students have the right to review, inspect and request an amendment to records that the student believes to be inaccurate or misleading. It also insures that personally identifiable information contained in a student’s educational records will not be disclosed without consent, other than in emergency situations.

Exceptions include the following:
1. To school officials with legitimate educational interests who need to review an educational record in order to fulfill a professional responsibility;
2. To officials of other institutions in which the student seeks to enroll provided that the student has previously requested a release of his or her record;
3. To authorized representatives of the U.S. Department of Education, U.S. Department of Defense, U.S. Attorney General, INS, Comptroller General of the United States, state education authorities, organizations conducting studies for or on behalf of the University, and accrediting organizations;
4. In connection with a student’s application for receipt of financial aid;
5. To comply with a judicial order or lawfully issued subpoena;
6. To the alleged victim of any crime of violence of the results of any disciplinary proceedings conducted by the University.

Students may submit a written request to the Office of the Registrar to not release directory information pertaining to them. “Directory Information” includes the following: a student’s name, electronic mail address, local and permanent mailing addresses and telephone numbers, semesters of attendance, enrollment status (full or part-time), date of admission, date of expected or actual graduation, school, major and minor fields of study, whether or not currently enrolled, classification (freshman, etc.), type of degree being pursued, honors, awards, degrees received (including scholarship and fellowships), weight and height of members of athletic teams, and whether the student has participated in officially recognized sports sponsored by the University.

Questions concerning this law and the University’s procedures concerning releases of academic information may be directed to the Office of the University Registrar.

The University of South Carolina Student Records Policy: http://www.sc.edu/policies/ppm/acaf303.pdf

Today's Date

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Today's Date(Required):

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Requesting Party

All information must be provided. Failure to provide all information will result in a delay in processing.

Name

Status

Student ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Disciplinary Records Check Information

There are two types of Disciplinary Records Checks. The first type is a statement of your conduct record is a letter from the Office of Student Conduct and Academic Integrity, stating any conduct record you may have. The second type is a form that you attach from the requesting agency (such as a graduate school or employment agency) at the bottom of this page. Dean's Certifications must be sent directly to the requesting agency.

Which type of Disciplinary Records Check do you need?(Required)

Statement of Conduct Record Attached Form

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Provide the complete email address of the requesting agency, including name of agency, contact person's name and address.(Required) This field is required.

Do you want a copy sent to you? (If yes, a copy will be emailed to you)(Required)

Yes No

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I understand that by submitting this form and the attached documentation, I consent to the release of my records and information from from the Office of Student Conduct and Academic Integrity. This information may be released to the following persons listed above. In order to successfully complete this form, you will also need to attach a copy of a government issued identification or your Carolina Card. This will ensure that we verify your identify properly prior to releasing any information.(Required)(Required)

Yes No

This field is required.

Photo Identification & Supporting Documentation

In order for this request to be processed, you must submit a picture of your Carolina Card or a government issued ID. If you have a form to attach from the requesting institution or organization, you can attach it here. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.