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Academic Integrity Final Reporting Form for Level 1or 2 Violations Adjudicated by Instructor/AIF


This form should ONLY be used AFTER you have completed an "Academic Integrity Reporting Form" and have received clearance to handle the matter as a first-time Level 1 or 2 matter. If you have not completed this initial reporting form, please do so here: Academic Integrity Reporting Form. This form MUST be completed within ten days of your meeting with the student. If the student did not respond or chose not to meet with you, you may make a decision regarding the matter and complete this form after 10 working days from your original formal written request to meet with the student.

Part I. Information from the Initial Reporting Form

 
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(Person who made the finding regarding the alleged violation)
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N/A if Instructor adjudicated
Email address must be of a valid format.
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Please use official Rutgers email when possible
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Course Name and Course Number- XX:XXX:XXX
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Student Information

Involved party 1

Part II. Investigation and Adjudication

Select Violation(s)(Required)
You must make at least one selection.
Finding(Required)
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Student Response to Finding of Responsibility and Proposed Sanction(s)(Required)
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Final Disposition(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