Aggie Honor System

Texas A&M University at Qatar

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 Academic Services Office for investigation and resolution. Complete sections I-III of the form and send it to the Academic Services Office 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 Academic Services Office 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 theAcademic Services Office. Complete sections I-IV of the form and send it to the Academic Services Office within 5 University business days.

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

Section I

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

Accused information:

First Name:

Last Name:

UIN:

Email:

Mobile Number:

Dept and Course #:

Section #:

Semester:

Violations – 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
Other:

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

Provide attach a brief description of the circumstances of the violation. Be sure to include any dates, location, facts leading to suspicion of violation, names of witnesses, etc. Please provide copies of exams, papers or other relevant evidence along with this form to the Academic Services Office as outlined in the TAMUQ Aggie Honor System Appeal Process. Retain all originals for your own records.

Section III

____ Check here if you want the Academic Services Office to investigate and resolve this honor violation. If you check this box, please submit this form and copies of all corroborating evidence to the Academic Services Office within 5 working days.

Section IV

I elect to hand 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
Hearing before a hearing panel to consider suspension or expulsion in addition to other sanctions

Faculty Name (printed):

Faculty Signature:

Date:

Section V: Student Decision

I accept responsibility for the violation and the sanction assigned by the instructor.
I do not accept responsibility for the violation reported by the instructor.
I do not accept the sanction assigned by the instructor.

Student Name (printed):

Student Signature:

Date: