REPORT OF STUDENT VIOLATION OF THE
ACADEMIC DISHONESTY POLICY
(See the reverse of this report form for policy information and explanations.)
Note: Notice of intent to appeal this violation must be filed by letter with the department chair within ten (10) business days of the date of the violation report.
Person filing violation report: ____________________________ Date: / /
Department/Unit: ______________________________________
Student Last Name: _______________ Student First Name: ______________SS#___________
Instructor’s description of violation:
Description of any penalty applied by instructor:
Official Warning only further academic dishonesty may be cause for more severe disciplinary action.
Other penalty as described below:
Any response by the student to the charge and the report:
Student admits violation with no dispute
Student disputes violation, see comments below
How was the student copy of the report delivered to the student?
Hand delivered Date delivered: / /
Registered mail Date mailed: / /
Signature of person filing violation report: __________________________________
Signature of department/unit chair or dean: _________________________________
The Academic Dishonesty Policy-Your Right to Know & Academic Policies Handbook: ______
(Department chair: Enter pages where student can find the written policies pertaining to dishonesty)
Person to whom student may address an appeal of this charge or penalty: ________________
(Department chair: Review policy and determine to whom an appeal would be directed.)
Date filed in Office of Provost and Vice President for Academic Affairs: / /
Policy Information and Explanation
Definitions of academic dishonesty, procedures, and the rights of students accused of academic dishonesty can be found in “The Policy on Student Academic Dishonesty” in Your Right to Know & Academic Policies Handbook.
The burden of proof that a violation as defined by policy has not occurred is on the
student.
This report must be completed for all violations of the Academic Dishonesty policy for which a student is penalized. A report may also be filed as an “official warning” (without other penalties) for any violation.
The instructor must briefly describe the violation including any explanation the student offers in his/her defense, and record any penalty the instructor places on the student as a result of the violation. The course instructor is responsible for discussing the violation report with the student and for filing the violation report with the department chair. The department chair will acknowledge the report by signature and carry out other responsibilities as defined by the policy.
One copy of the report will be sent to the Office of the Provost and Vice President for Academic Affairs where it will be placed in the appropriate confidential file. The student copy will be given to the student in person or by registered mail.
Upon filing this report, the file containing the reports will be checked for previous violations by the same student. The presence of more than one violation report will be reported to the dean of the appropriate school and the dean may initiate additional disciplinary action including suspension or dismissal from the College.
Appeals of violation reports and penalties applied as a result of such reports should be directed first to the department chair and thereafter to appropriate school dean and finally the Provost and Vice President for Academic Affairs as specified in IIIA, B and C, and IVA, B and C of the policy. Notice of an intent to appeal must be filed by letter with the department chair no later than 10 business days after the date of the violation report. If a dispute proceeds to the dean’s level, the formal appeal with any supporting documentation must be received no later than the 30th calendar day of the next regular semester.
If a student appeal of the violation is successful, the report in question will be removed and destroyed.
The violation report can be used as specified by College policy but is confidential for all other purposes as specified in the “Policy on Academic Dishonesty.” The report will remain in the file until the student named has graduated from SUNY Brockport. The report can, thereafter, be removed by direct petition of the student to the Provost.
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