Academic Ethics Violation Notification

Academic Ethics Violation Notification

UNI Policy 3.01
Faculty members should use this form to document academic ethics violations. If you have questions or need assistance please reach out to the Provost Office (cheryl.nedrow@uni.edu).
Student Information
Student Name*

First NameLast Name
Student ID #*
Student Email*
example@example.com
Student Major Department*
Major Department Head*

First NameLast Name
Major Dept Head Email*
example@example.com
Course Information
Your Name*

First NameLast Name
Your Email*
example@example.com
Name of your Department - if different from above
Name of your Department Head - if different from above

First NameLast Name
Dept. Head Email - if different from above
example@example.com
Course Title*
Course Prefix, Number, Section*
ex: COMM 1000:01
Violation Information
Note: Please refer to Policy 3.01 Student Academic Ethics Policy to assist in assigning a Volation Level and Sanction(s). Also note that the detailed description of the ethics violation as well as the sanction you impose, will be included in the letter received by the student.
Semester of Violation*
ex: Fall 2025, Spring 2026, Summer 2026
Level of Violation*
Detailed Description of Violation*
Assigned Sanction/Consequence*
Upload Supporting Documentation*

Cancelof
Should be Empty:

Student Information