UNDERGRADUATE ACADEMIC ETHICS BOARD

Charge of Academic Misconduct/ Request for Hearing




INFORMATION:

This form serves as an official charge of academic misconduct for use by the Undergraduate Academic Ethics Board of the Johns Hopkins University. Submission of this form assumes that you wish this case to be resolved by an Ethics Board hearing panel.

INSTRUCTIONS:

Please complete the following information to the best of your knowledge. Include copies of any relevant documents. It is advisable that you retain copies of this and all documents relevant to this case. Any questions may be directed to the above address or via email to ethicsbd@jhunix.hcf.jhu.edu. Please type or print legibly.

1. Name, title, and campus phone number of faculty member bringing charges:




2. Name(s) of student(s) accused of academic misconduct:






3. List the course name, number, and section (if applicable) in which the alleged misconduct occurred. Leave blank if the alleged misconduct did not involve a specific course (ie., forgery of an advisor's signature). List also the semester in which the course was taught.





4. Indicate the academic exercise(s) associated with the alleged misconduct (ie., examination 3, second paper, etc.).









5. To the best of your ability, indicate specifically the type of offense which you believe occurred. If more than one student is involved, list each individually.
(ex: John Doe- cheated on closed book exam by using crib notes)










6. Please describe the circumstances of the alleged academic misconduct. Include all relevant information, as well as any information you believe may be helpful to the Ethics Board. Use the reverse side of this sheet if necessary.




















7. Please sign below indicating that all information is accurate to the best of your knowledge:


___________________________________ Date: _______________