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THE GRADUATE SCHOOL
E-106 Martin Hall Clemson, SC 29634-5713
864.656.5202
Form GSaiA
Rev 02/2019
GRADUATE ACADEMIC INTEGRITY FORM GS-ai-A —
R
EQUEST TO WAIVE ACADEMIC INTEGRITY HEARING
£
A copy of the formal charge was provided to me by the Graduate School on , 20 .
Day/month Year
Charge should be provided to student within three (3) working days of receipt by the Graduate School.
£
I request to waive my right to a hearing conducted by the Graduate School Academic Integrity Committee.
1
Date: Signature of student:
XID#: Printed name:
Degree program:
LEVEL OF SERIOUSNESS:
£
Level 1
2
£
Level 2
3
£
Level 3
4
£
Level 4
4
1
Students who waive their rights to a hearing will have no right to appeal the sanction imposed.
2
Sanction imposed by faculty; notification to the Graduate School.
3
Sanction imposed by the college’s hearing panel.
4
Sanction imposed by the Academic Integrity Committee Hearing Panel or full committee, depending on recommended sanction.
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