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Academic Misconduct Referral Form


The Office of Student Conduct will use this form to open an Academic Integrity file within the University Conduct Reporting System. No Student Conduct cases will be open unless consultation between the Dean of the College and the Director of Student Conduct has occurred. Academic Integrity Policy: http://www.winona.edu/sld/academicintegrity.asp

Instructor Information

Please provide your contact information so that we may follow up with you if needed.

 
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Email address must be of a valid format.
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Please enter the course abbreviation and number (ex: BIOL 1100)

Involved Parties

Please list all available information regarding the student(s) involved. Be sure to include their ID numbers when possible.

Involved party 1

Questions

Alleged Violation(s): (See link http://www.winona.edu/sld/academicintegrity.asp) Consequences for academic violations are most often addressed by the instructor and the student at the time of the violation. The instructor’s determination is final unless appealed to the dean of the college. This form is used as a record of the outcome and is held in the Office of Student Conduct

Violation(s)(Required)
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Faculty: Check what Applies(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission