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THE GRADUATE SCHOOL
E-106 Martin Hall Clemson, SC 29634-5713
864.656.5202
GRADUATE ACADEMIC INTEGRITY FORM GS-ai-B —
S
TUDENT REBUTTAL OF CHARGE
Instructions to the Graduate School representative
Please complete Part A and attach a copy of the charge of the violation of academic integrity. “Date of receipt” is
the date the Graduate School gives this form and attachment to the student charged. Make a photocopy of this
complete set of information and file with pending academic integrity cases. Log the case in the appropriate
spreadsheet.
PART A — To be completed by the Graduate School representative
Name of student charged:
XID#: CU email address:
Phone: Degree program:
£
Copy of charge is attached (please staple to this form)
Date of receipt Signature of Graduate School representative
Type/print name of Graduate School representative
PART B — To be completed by the student
Please provide all information requested and return to the Graduate School (E-106 Martin Hall) within five (5)
work days of date of receipt, as noted preceding Part A.
£
Attached is a full account of my rebuttal
£
Attached are supporting documents (please specify)*
*Only materials submitted with this form may be introduced and/or explained during the academic integrity hearing.
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