Aggie Honor System

Texas A&M University at Galveston

Honor Code Violation Form 

Instructors must use this form to report all alleged Honor Code violations. 

  1. Use this form to report an alleged honor violation to the Honor Council for investigation and resolution.  Complete sections I-III of the form and send it to the Assistant Vice President for Student Affairs and Auxiliary Services within 5 University business days of the discovery of the alleged violation.

  2. Use this form to handle the honor violation on your own and send it to the Assistant Vice President for Student Affairs and Auxiliary Services for recording.  Any honor violation that the faculty member chooses to handle must be reported with this report form.

  3. If in the investigation of the violation, the faculty member determines that the penalty assessed should be greater than an “F*,” the case is automatically referred to the Honor Council.  Complete sections I-IV of the form and send it to the Assistant Vice President for Student Affairs and Auxiliary Services within 5 University business days.

  4. A copy of this form must be sent to the instructor’s department head.

 IMPORTANT: Complete a form for each student involved in the incident.

Section I

The following students has been accused of a violation of the Texas A&M University at Galveston Honor Code:

Accused Information

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
UIN #
E-mail

Dept and Course #: 

Section #: 

Dates and Times Available for Investigator Followup Meeting


Violations (for more information, see the Honor Council Rules). Please check all that apply:

cheating on a test/assignment
fabrication of data or results
falsifying research results or academic records
submitting an assignment from another class for credit
plagiarism
aiding or abetting others in cheating or plagiarizing
Violation of Department or College Rules    
Other

Check here if this assignment is of value greater than 10% of final grade

Section II

Provide a brief description of the circumstances of the violation in the space below. Be sure to include any dates, location, facts leading to suspicion of violation, names of witnesses, etc. If you are completing this form online, send copies of exams, papers or other relevant evidence to the Assistant Vice President of Student Affairs and Auxiliary Services. Retain all originals for your own records.


Section III

Check here if you want the Honor Council to investigate and resolve this honor violation. If you check this box, please submit this form and copies of all corroborating evidence to the Assistant Vice President of Student Affairs and Auxiliary Services within 5 working days.

Section IV

I elect to handle the case autonomously. My final decision is the following sanction(s):

Select any of the following options that apply:

"0" on the assignment
"F" in the course
Complete the Academic Integrity Remediation Program
Hearing before the Honor Council to consider suspension or expulsion in addition to other sanctions

Other 

Please provide the following contact information:

Faculty Information

First Name
Last Name
Middle Initial
Title
Department
Work Phone
E-mail

Dates and Times Available for Investigator Followup Meeting

Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: November 26, 2007