Oregon State University
Student Conduct & Community Standards
ACADEMIC DISHONESTY REPORT FORM (ADRF)
Graduate Student
PROCEDURES
Academic Dishonesty: See OAR 576-15-0020(1) and 576-15-0020(9) defined on the web site located at
http://oregonstate.edu/admin/stucon/achon.htm.
Graduate Faculty members have the responsibility of following academic dishonesty procedures both within the
classroom and during the process of guiding graduate student research. The highest standards of scholarly integrity are
expected throughout the course of graduate education. When an act of academic dishonesty is observed, the procedures
specified below should be followed. Faculty members are welcome to call the Student Conduct & Community Standards
office at 737-3656, the Dean of Graduate School at 737-4811 and/or visit the Conduct website
http://oregonstate.edu/admin/stucon for more information.
1. Prior to filling out the Academic Dishonesty Report Form (ADRF), collect the physical evidence – original
assignment(s), exam, e-mail correspondence, etc.
2. Note the specific incident date(s) on the form and then summarize the incident in the space provided, or attach
a separate page.
3. The instructor may wish to contact the department chair to discuss the range of possible academic
consequences that may be appropriate, recognizing that the final determination will not be decided upon
without giving the student the opportunity to first offer an explanation.
4. The instructor should personally contact and inform the student that he/she is in possession of evidence
indicating that an act of academic dishonesty involving that student may possibly have occurred.
Notification to student might resemble:
Dear Mr/Ms Student,
Recently you (NOTE THE EVENT: took a midterm/handed in a paper). I have reason to believe that academic
dishonesty may have occurred. I would like to set up a meeting with you. At this meeting I will present you with the
information I have and provide you an opportunity to explain the circumstances before I make a decision. If you fail to
meet with me, you leave me no other choice but to proceed with filing an academic dishonesty report without the benefit
of your input. I will not discuss this situation through email so it is essential that we have a meeting.
Here are some times I am available to meet with you : _____________________. Please let me know which time
would be best for you. I look forward to meeting with you soon so that we may resolve this matter.
5. Meet with the accused student and allow the student to review the evidence and provide a verbal explanation
as well as a written explanation in the space provided on the report form. Provide additional pages if needed.
If the incident has occurred in an e-campus setting and the student does not live near campus, “meeting”
with the student may take place by phone and/or e-mail (in which case the last sentence in the 1st paragraph
above would be omitted when initially contacting the student). Be sure to attach e-mails and/or notes of
phone conversations with the student to the report form.
6. Review with the student the possible academic penalties. If the instructor is confident that academic
dishonesty has indeed occurred, complete the Instructor Recommendation section of the ADRF and explain the
penalty(s) to the student.
7. Inform the student that a first violation of academic dishonesty includes creation of a five-year confidential
student conduct record maintained in the Student Conduct & Community Standards office. The Conduct
office will contact the student once the department chair and the Dean of the Graduate School have reviewed
the report. If this is a first instance of reported academic dishonesty, the student will be required to complete
an Academic & Personal Integrity home assignment followed by a meeting with Conduct staff. (The follow-up
meeting can take place by phone if this is an e-campus incident and the student lives out of town.)
(continued on back)
8. Inform the student that he/she has the right to appeal. The process is outlined at the following web site:
http://arcweb.sos.state.or.us/rules/OARS_500/OAR_576/576_022.html
9. Ask the student to read and complete the Student Acknowledgement box on side two of the ADRF.
10. Make a photocopy of both sides of the ADRF and both sides of this procedures page and give the copies to the
student. (Or mail to the student if it is an e-campus class.)
For incidents at the end of the term, faculty may want to consider assigning an “incomplete” grade to permit
time for the student to provide an explanation and for the reporting process to be completed.
In order to assign an "F" for the course as a penalty, the student must first be provided an opportunity to
review the incident with the department chair or program director.
To prevent the student who is found responsible for academic dishonesty from repeating the course for a
better grade (“no grade replacement”), the report must indicate that such a decision was made as part of the
finding and disciplinary action by the academic unit. The Conduct office and the Registrar’s office will
enforce the decision. [Faculty Senate June 1997]
11. The instructor will copy the Academic Dishonesty Report Form and all evidence and send through campus
mail (or personal delivery) to the Student Conduct & Community Standards office at 327 Snell Hall.
12. The instructor will forward the original report with all evidence to the Department Chair (or designee) for
timely review, action and signature.
13. The Department Chair will forward the original report/evidence to the Dean of the Graduate School.
14. The dean will note final action(s) and send the original, completed ADRF along with all evidence by campus
mail to Student Conduct & Community Standards, 327 Snell Hall.
Copies of the report should be retained for 5 years by the department in which the incident occurred,
the Student Conduct & Community Standards office, and the Graduate School.
Appeal procedures can be found on the web at
http://arcweb.sos.state.or.us/rules/OARS_500/OAR_576/576_022.html
The student’s written appeal must be filed within 15 calendar days of receipt of the original,
signed report by the Student Conduct & Community Standards office.
*This is an educational record, and should be maintained with the care with which all educational records are maintained. Records
maintained by the Department and College should be destroyed five (5) years from date of incident per OAR 166-475-0010(38).
Oregon State University Student Conduct & Community Standards
GRADUATE STUDENT
ACADEMIC DISHONESTY REPORT FORM 2008 - 2009 (attach evidence)
Student’s name ___________________________________________ ID number ___________________________________________
Course/other academic work ________________________________ Department or unit _____________________________________
Date of incident ______________________________________ Instructor’s name __________________________________________
Instructor’s e-mail _________________________________________ Instructor’s phone _____________________________________
TYPE(s) of academic dishonesty:
[ ] Cheating (intentional use or attempted use of unauthorized materials, information, or study aids).
[ ] Fabrication (intentional falsification or invention of any information).
[ ] Plagiarism (intentionally or knowingly representing the words or ideas of another person as one's own).
[ ] Assisting in dishonesty or tampering (intentionally or knowingly helping or attempting to help another commit an act of
dishonesty or tampering with evaluation instruments and documents).
INSTRUCTOR’S SUMMARY OF INCIDENT (use additional page if needed)
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
* To be completed by STUDENT – Response/Explanation (taking responsibility, denial, comments, etc.) Use addl. pg. if needed.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
[Check one]
[ ] I accept responsibility for the charge of academic dishonesty described above.
[ ] I disagree that academic dishonesty has occurred. I am aware that I have 15 business days to appeal the charge.
___________________________________________________
Student’s Signature Date
* Instructor - If student is unavailable or unwilling to sign, note how this report was communicated to student:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
INSTRUCTOR RECOMMENDS:
[ ] Penalty on assignment ________________________ [ ] F grade in course __________________________
[ ] Penalty for the course ________________________ [ ] No grade replacement ______________________
[ ] Other ______________________________________
_______________________________________________
Instructor’s signature Date
(continued)
STUDENT – Please read and acknowledge the following information by initialing:
__________ I have been notified of the academic penalty that has been imposed upon me by the instructor.
_________ (If applicable.) If the penalty is “F grade in course,” I have been informed that I may immediately schedule a meeting with the
Department Chair, program director or designee to discuss the incident before the report is sent to the dean.
_________ If I decide to appeal the penalty or the charge itself, I will do so in writing to the Instructor within 15 working days.
If I fail to appeal, I understand that the academic penalty will stand as imposed.
_________ If it is determined that I am responsible for academic dishonesty, I understand that I will be required to complete a written
Academic & Personal Integrity Assignment. I will be contacted by the office of Student Conduct & Community Standards via
my “onid” e-mail address with instructions.
_________ I understand that a copy of this report will remain in a confidential file at the Student Conduct & Community Standards office
for a period of 5 years.
_________ I understand that a 2nd report of academic dishonesty may result in a formal Conduct Committee hearing, the result of which
could be suspension from the university.
1) At this point, make a copy of both sides of the ADRF and the procedure pages and give the copies to the student.
2) Make another copy of the report plus all evidence and forward via campus mail to Student Conduct &
Community Standards, 327 Snell Hall.
3) Forward the original ADRF to the department chair or designee for action and signature.
4) Department chair then forwards original ADRF and evidence to the dean of the Graduate School.
DEPARTMENT CHAIR/DESIGNEE’S ACTION :
[ ] Penalty on assignment ________________________ [ ] F grade in course __________________________
[ ] Penalty for the course ________________________ [ ] No grade replacement ______________________
[ ] Other ______________________________________
_______________________________________________
Chair/Designee’s signature Date
GRADUATE SCHOOL DEAN’S ACTION:
Concur with action taken.
Other:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________________________________
________________________________________________________
Dean’s signature Date
Dean’s office forwards completed report form and evidence to Student Conduct & Community Standards, 327 Snell Hall.
IMPORTANT:
This report may only be shared with the individual to whom it pertains and with those within the university who have a legitimate educational need for the information
on the report. Should the report name additional students, their statutory right to privacy must be protected; for example, their names must be blocked
out on any copy of the report shared with the student about whom the report is filed.