Plagiarism Resolution Form

According to the Undergraduate Catalog, plagiarism is a form of academic dishonesty defined as “the intentional or unintentional copying of language, structure, or ideas of another and attributing the work to one’s own efforts” (p. 29). The catalog also states that “(w)hen, in the opinion of a faculty member, there is evidence that a student has committed an act of academic dishonesty, the faculty member shall make a formal written charge of academic dishonesty, including a description of the misconduct, to the Associate Dean of Undergraduate Studies.” (p. 29).

This form may be used by instructors to charge students with a violation of the Academic Integrity policy due to submission of plagiarized work. After meeting with the instructor, the accused student may, at their option, (1) sign the form to admit the violation and accept the penalty or (2) indicate that they believe that the charge has been made in error, and should then contact Julia Lusk in the Office of Undergraduate Studies.


1) Instructors that suspect plagiarism in their undergraduate class should download and read the Plagiarism Resolution Form.

2) An instructor that opts to use the form should meet with the student to discuss the evidence of plagiarism.

3) The instructor should print out and go over the form with the student to make sure they understand the charge and the conditions of the resolution.

4) If the student agrees that plagiarism was committed, and they agree to the terms of the penalty, they should sign the form. The instructor will sign the form, provide a copy to the student, and send the completed form to the Office of Undergraduate Studies.

5) Students that accept the charge of plagiarism are required to attend a university workshop on plagiarism within 90 calendar days (exclusive of summer sessions)

6) See the form for further details. Direct questions to Julia Lusk,