Student Response to the Academic Honesty Report Student Name: ________________________ Student #: |__|__|__| - |__|__|__| - |__|__|__| Subject Code: ____________________ Faculty Name: ________________________ Date of Incident: ______________________ The above named student is alleged to have committed a cheating/plagiarism offence as defined by Section 9 of Academic Policy and in the circumstances described below: Student's description of incident: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ I have read the above description and agree that it represents my account of the incident. I understand that signing in the space below does not mean that I acknowledge violating academic policy. Student signature: ____________________________________________________________ Faculty/Coordinator signature: __________________________________________________ Date: __________________ Voluntary Acknowledgement: Student: please sign in space below if you acknowledge violating academic policy. I, ______________________________ acknowledge the above violation of academic policy (student signature) and fully understand the penalties outlined below. * 1st offence results in: normally a grade of “0” on the work in which the offence occurred, and on the recommendation of the Academic Honesty Committee, and the following will be noted on the Student Centre: Academic Honesty - First Offence. ** 2nd offence results in: normally an "F" in the course where the offence occurred, the following will be noted on the Student Centre: Academic Honesty - Second Offence, and suspension from the College for a time period determined by the Academic Honesty Committee, normally for a minimum of three (3) terms. If you want to return to the College, you will be placed on Academic Honesty Probation. You must see the Coordinator/Student Advisor for reinstatement. ** 3rd offence results in: college initiated mandatory withdrawal for academic reasons Copy to Student File