Academic Integrity Report

Academic Integrity Report — Form Fields

This education template includes 7 fields. Provide a standardized form for faculty to report suspected academic dishonesty, plagiarism, or exam misconduct. Ensures consistent documentation across departments. Supports fair and transparent academic integrity processes. Free to customize and use on ZenBuild.

• Reporting Faculty Member (text, required)
• Course Name and Code (text, required)
• Student Name (if known) (text, optional)
• Type of Violation (dropdown selection, required) — options: Plagiarism, Cheating on exam or quiz, Unauthorized collaboration, Fabrication of data or sources, Contract cheating / essay mills, Other
• Description of the Incident (long text, required)
• Was the student confronted about this? (multiple choice, required) — options: Yes – and denied the violation, Yes – and admitted the violation, No – escalating directly
• Upload Evidence (Optional) (file upload, optional)