Confidential Faculty Report of Academic Dishonesty

Please fill out this confidential faculty report as fully as possible. Please visit here if you have questions on whether to file formal charges or issue a warning letter. 

If you would like to submit this form to your Department Chair or any other interested party, please provide that e-mail address here.
How did you discover the incident? What events did you observe? What statements were made by the persons present? **Note: the facts that are described here will serve as the incident summary that will be sent to the students pursuant to Executive Order 1098.** Please put any anecdotal content in the comments section below.
If you would like to answer additional questions about this case, including about the potential sanction, please click YES.
This question will only be used for internal data collection and reporting. Cal Poly has a university-wide academic dishonesty policy.
Please include any supporting documentation that you may have concerning this allegation of academic dishonesty. Preferably, these would be in PDF format in a .ZIP file.
Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml avi mov mp3 wav bz2 dmg gz jar rar sit tar zip.

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