3. Which sanction was imposed by the instructor? (Please check all that apply):
a.
Zero on the assignment or exam
b. Lowered grade in the course. Indicate the imposed lower grade for course .
c.
Other. (Please specify):
4. Academic Dishonesty Violations are classified as Class A or Class B. Please refer to the
following website for definitions of each class of violation: http://www.slu.edu/x12660.xml.
Choose the class that best describes this violation.
a.
Class A violation b. Class B violation
Section III: Student Notification
The student must be notified in person or in writing regarding the academic dishonesty charge. Options
for notification are provided below. Instructor must fill out all information in this section.
5. How was the student notified of the outcome at this time? (Please check one):
a. Student was notified in person of each of the following:
(1) the sanctions being imposed by the instructor
(2) that the student has one week from the date notified to appeal the decision of a Class
A violation to the Department Chair. (Note: Class B Violations will be automatically
adjudicated by the College Committee on Academic Honesty.)
The student acknowledges he/she has been notified of the sanctions imposed by signing
and dating on the following lines.
Student’s name:
(Please print)
Student’s signature:
Date:
b. Student was notified by email or through USPS via a certified, signature-
required letter. Be sure to notify the student that with a Class A Violations, he/she has
one week from the date notified to appeal this decision to the Department Chair and
include a copy of the correspondence with this form. (Note: Class B Violations will be
adjudicated by the College Committee on Academic Honesty.)
6. Disposition of the case: (Please check one):
a. The instructor has imposed sanctions for a Class A violation and the student
waives the right of appeal.
Student’s signature:
_________________ _
Date
:
In this case the instructor will send this form and all physical evidence to Gary Barker,
Associate Dean, College of Arts & Sciences, Verhaegen Hall
218. The rest of this form does not need to be filled out.
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