FACULTY DISPOSITION OF A CASE OF ACADEMIC MISCONDUCT

Before proceeding with a conference with the student, the faculty member should consult the “Code of Student Rights, Responsibilities, and Conduct.” http://campuslife.indiana.edu/Code/index.html This booklet may be obtained from the Office of the Student Life or the Vice Chancellor of Student Affairs.

An instructor should use this form at the conclusion of the informal conference to document compliance with Sections IV. B. and IV. C. of the “Code of Student Rights, Responsibilities, and Conduct.” Therefore, in complying with Part IV.B.1.c. of the “Code of Student Rights, Responsibilities, and Conduct,” the faculty member is required to report the matter within seven calendar days in writing to the Dean of Students, who will send the report to the student, the dean or director of the school or unit in which the offense occurred, and the student’s dean or director.

It is not necessary to type this form, but please make it legible!

1. It has been concluded that the following student committed a violation of IUN’s policies on academic misconduct:

Name_____________________________________________

Student ID#______________Dept. & Course No.___________Section No.___________

2. Type of violation:

_______Cheating _______Fabrication _______Facilitation

_______Interference _______Plagiarism _______Violation of Course Rules
3. Summary of incident: (Attach a detailed summary of the incident)

4. Academic sanction imposed by the instructor: Additional penalties may be imposed by the Dean of Students after reviewing this form and other records.
_____no penalty

_____resubmit assignment, paper or project (specify requirements and due date)

_____retake exam

_____complete additional assignment, course work, exam or paper involved

_____lower grade on assignment, exam, or paper involved

_____failing grade on assignment, exam or paper involved

_____required to withdraw from course with W or F, at faculty members’s discretion

_____a reduced final grade or failing grade for the course (specify grade)

Faculty Name (Please print)___________________________________Dept/Room#_________

Signature___________________________________________Date______Phone___________
5. APPEALS: A student has the right to appeal any of the following decisions:
A. The faculty member’s decisions that the student committed the act of misconduct.
B. The faculty member’s decision to impose a particular academic sanction.
C. The decision of the Dean of Students to impose an additional sanction.

Should you have any questions about the discipline procedures, please contact the Vice Chancellor for Student Affairs.

6. Student Response:
A. I understand the violation with which I am charged, accept faculty disposition, waive my right to a hearing and accept the disciplinary sanction. I understand that
if circumstances warrant, the Dean of Students may consider additional sanctions
and a hearing with proper notification will be held to consider any additional sanctions. I understand that this form will be kept in a confidential file in the Office of the Dean of Students.

Student Signature________________________________________________

Mailing Address__________________________________________________

Phone______________ Date_________________

B. I understand the violation with which I am charged, but do not admit responsibility and claim my right to a hearing in accordance with the policy of the unit responsible for the course in which the violation allegedly occurred. The appeal must be submitted, in writing to the appropriate office within the academic unit in which the violation occurred, within seven days of being notified in writing of the faculty member’s decision concerning the violation. I understand that if circumstances warrant, the Dean of Students may also consider sanctions and a hearing with proper notification will be held to consider any additional sanctions. I understand that this form will be kept in a confidential file in the Office of the Dean of Students.

Student Signature________________________________________________

Mailing Address__________________________________________________

Phone______________ Date_________________

The student did not appear or was unavailable, or would not sign this form.
___________
Faculty Initials
7. Department Chair’s Signature (if applicable)______________________________

8. Dean’s Signature (if applicable)________________________________________

SEND THIS FORM TO: Vice Chancellor Student Affairs Savannah Center 226