CHARACTER STATEMENT FORM
American University
1. Your name (Please print): _____________________________
2. AUID Number (if applicable): _____________________
3. Telephone Number: ______________________________
4. Please write the name of the respondent:_________________
AMERICAN UNIVERSITY’S HONESTY POLICY:
An academic community exists to promote the pursuit of learning and truth. Honesty is the
cornerstone of this pursuit. Furthermore, a disciplinary proceeding requires honesty if it is to be
fair and just to all concerned. Therefore, it is the policy of American University to accept into
any investigation, disciplinary record or proceeding only those statements/evidence in
which the attesting party has clearly sworn to the truthful nature of the statement in the
presence of an authorized University Official or Notary Public. This policy pertains to all
statements, written or verbal in nature, issued by complainants, respondents, or witnesses who
may have knowledge of incidents or information pertinent to any case on file in the Student
Conduct and Conflict Resolution Services office. In the event that any individual knowingly
offers false information, that individual may be subject to disciplinary action taken by the
University, including but not limited to suspension or dismissal from the University.
BY SIGNING THIS STATEMENT, I hereby assert that the statement attached is true and
may be shared with the investigator, complainant, respondent, Hearing Officer/s, and
Conduct Council members serving on a hearing panel (if applicable).
Signature: ___________________________________
Date:_________________
TO BE SIGNED BY AN AUTHORIZED UNIVERSITY OFFICIAL OR NOTARY
PUBLIC (After confirming identification).
Any member of the Student Conduct staff, Dean of Student’s Office, designated Housing &
Dining Programs staff (i.e., Resident Hall Directors, Area Directors, and Director), Officers with
supervisory authority in the Department of Public Safety, or Notary Public, may act as a witness
and sign below.
Signature: ___________________________________
Date:___________________
You may provide information regarding the respondent’s character. If you have factual
information related to the incident, please use the “Statement Form.” Please use a pen and initial
next to any changed words or sentences.
The following questions may help guide your statement: Under what circumstances do you
know/have you known the respondent? How long have you known the respondent? What types of
interactions have you had with the respondent? What contributions has the respondent made to the
community? How has the respondent contributed to the American University community?
Initials of Person Providing the statement:_______ Page __ of ___
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