Intellectual Integrity Violation Report Form

[This form is provided to simplify the process of reporting academic misconduct, per the college policy on intellectual integrity. The complete policy can be found in the catalog. When completed, this form will be emailed to the Instructor, the appropriate dean and to the Provost's Office. The date on the email transmission will be considered official.]

Has the student been given an opportunity to reveal their understanding of cheating/plagiarism in a private discussion with the course instructor prior to the assessment of any penalty?

yes     no

If no, do not submit this form now. Instead please provide the student the opportunity to explain, per campus policy. Please submit this form after having given the student an opportunity to discuss their situation.

Instructor's full name: 

Instructor's Official Oswego e-mail address: 

Student's full name:       Student ID: 

Course prefix, number and section: 

Semester: 

This is an undergraduate course that belongs to the

College of Liberal Arts & Sciences
School of Business
School of Communication, Media and the Arts
School of Education

Or this is a graduate course that belongs to:

Graduate Studies

Violation Description

A. Brief description of the violation (e.g, plagiarized on 3rd book review, cheated on 2nd exam). 700 characters (about 125 words) max:


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B. What evidence do you have to support the conclusion that the student has violated Oswego's Intellectual Integrity policy? You may attach documents. You may place relevant URLs here. 700 characters (about 125 words) max:


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C. There are two possible responses for faculty to take, per campus policy. Which of the following defines your response:

Assign an academic penalty
File judicial charges
If you assigned an academic penalty, what academic sanction(s) have you imposed for the violation? For guidance, see http://www.oswego.edu/administration/provost/integrity/facultyresources/sanctions_guidelines.html). 700 characters (about 125 words) max:


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D. If the student was given an opportunity to reveal an understanding of cheating/plagiarism in a private discussion prior to the assessment of any penalty, did the student meet with you?

yes     no

If yes, when did you meet?  

And, were there witnesses? yes     no

If you did not meet with the student, why not? 100 characters (about 20 words) max:


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E. When did you notify the student in writing of the penalty that you have assigned?  

To submit this form, please click on the following

[Revised April 6, 2010]