Academic Dishonesty Reporting Form

Background Information

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Your full name:

Your position/title and dept.:

Your phone number:

Your email address:

Email address must be of a valid format.

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

College of the Class(Required):

This field is required.

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Which college is the class registered in?

Course Name and Number:

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Please list your course name and number (Example: History 202)

Involved Parties

Please include as much information as you have access to for each person.

Name

Role

Lehigh ID Number

Questions

Please complete the questions below. if you do not have access to the information requested, please indicate that in the answer box.

College and Department of the class in question.(Required) This field is required.

Please list any grades or evaluations that the student(s) has received in this class prior to the incident: This field is required.

Please comment (if possible) on the student(s) attendance record in this class before and after the incident: This field is required.

Have you discussed this incident with the student(Required)

Yes No

You must make at least one selection.

If you have discussed this with the student, please describe that interaction. This field is required.

Which days of the week are you generally available at 3:00 PM or 4:00 PM for a hearing (Mon, Tue, Wed, Thu, Fri).(Required)

Monday Tuesday Wednesday Thursday Friday

You must make at least one selection.

Are there specific dates you are not available? This field is required.

PLEASE GIVE A DETAILED NARRATIVE OF THE INCIDENT(Required) This field is required.

If the student(s) is found responsible for academic dishonesty, the panel can either assign a grade of "F" in the course or make a grading recommendation. Which option would you prefer? For more information see Article VII, Section II, part B of the Lehigh University Code of Conduct(Required) This field is required.

Supporting Documentation

When submitting this form, you are required to include (IN PDF FORM ONLY)::

* A syllabus for the class in question
* Any relevant information (tests, papers, crib sheets, etc.)
* Other supporting documents (if submitting emails, please copy and paste into a word document) 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

Questions

Supporting Documentation

Submission