Undergraduate Honor Code Incident Reporting Form

Background Information

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Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your office location (if any):

Date of incident(Required):

This field is required.

College(Required):

This field is required.

Course number and section:

Involved Students

Name

Role

Student ID number

Statement on Artificial Intelligence

At present, any allegation involving the use of artificial intelligence should be in alignment with the artificial intelligence guidance shared by the Center for Teaching and the Faculty Policy on AI provided by the Office of Faculty Affairs and Professional Education.

The allegation should be supported by factors indicating potential unauthorized aid (including, but not limited to, content inconsistent with assignment instructions, fake/dead-end links, inconsistencies between the voice and writing style of prior submissions, etc.) and not based solely on an artificial intelligence detector score (e.g., TurnItIn, zeroGPT, etc.).

Based on this statement, do you wish to proceed with making a report?(Required) This field is required.

Please provide a detailed description of the incident using specific concise, objective language.(Required) This field is required.

Have you addressed this issue with the student(s) involved?

Yes No

This field is required.

If so, please document what transpired in the meeting. This field is required.

Supporting Documentation

If applicable, please upload any TurnItIn reports or copies of other relevant documents, such as tests, papers, assignments, etc. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Background Information

Involved Students

Statement on Artificial Intelligence

Supporting Documentation

Submission