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Academic Misconduct Reporting Form


Please use this reporting form to provide detailed information about the incident you believe may be a possible Academic Integrity Policy violation.

When a report is received, our staff will review it, decide what an appropriate pathway to take to address the alleged misconduct. As a result, OACC may consult with you to see if the incident warrants our meeting with the student to address the alleged misconduct. We will investigate and take appropriate action. You and any witnesses you identify in the report may be contacted by OACC staff for details about the incident during the investigation. Please note that, university student conduct records are protected by the federal Family Educational Rights and Privacy Act. As such, information gathered during, and the results of any investigation will be reported only to the student in question and school officials with a legitimate educational interest (i.e., the reporting faculty member and other relevant school officials).

If you have any questions regarding filing an incident report, please contact OACC at 906-487-2951.

To report a course/classroom disruption incident, please fill submit a Student Conduct Incident Report form.

This form is reviewed by the Office of Academic and Community Conduct. For questions, please contact studentconduct@mtu.edu or call 906-487-2951.

Background Information

Email address must be of a valid format.
This field is required.
This field is required.

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. For non-students, please list a Drivers License number in the block labeled M# if available.

Involved party 1

Questions

Alleged violation (check all that apply).
You must make at least one selection.
This field is required.
Have you discussed the misconduct incident with the student?(Required)
This field is required.
This field is required.
What academic penalties did you impose after discussing the incident with the student? Check all that apply.(Required)
You must make at least one selection.
In your course syllabus, do you have a statement about the likely consequences for acts of academic misconduct? If yes, please upload a copy of your course syllabus below.(Required)
This field is required.

Supporting Documentation

When submitting this form, please include attachments of the syllabus for the class in question, any relevant information (i.e. tests, papers, etc.), and any additional supporting documents. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission

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