ࡱ> 473+ bjbj(( 4 JDhJDh   8$,,,,,,,,\^^^^^^$ =#,@,,,,,,^,,\,\,< CH0#0`##x,,,,,,,@,,,,,,,#,,,,,,,,, X f: Academic Misconduct Student Appeal Form For the Student: Fill out this section, then send the form and all original documentation supporting your Academic Misconduct Appeal in an envelope marked confidential to the Chair of the Department in which the alleged misconduct occurred. You are encouraged to retain copies of all relevant documents until the issue is resolved. Students Name(Print): ______________________________ Student ID#________________________ Instructors Name: _________________________________ Semester and Year __________________ Course # &Title___________________________________________________ Description of Alleged Misconduct ______________________________________________________ _____________________________________________________________________________________ Write a brief essay explaining your position and defending your appeal of the Instructors allegation. Explain any documentation you are including with this form to clarify ways in which you believe you have been unjustly accused. Remember that the appeal must be based on demonstrable innocence or on the Instructors unjust application of his/her articulated standard. Disagreement with the standard is not grounds for appeal. Attach the typed essay, and any documentation, to this appeal form. Students Signature ________________________________ Current Date:____________________  For the Department Chair: Upon receipt of this form, you should review the Students appeal along with any documentation provided by the Instructor. You shall respond to the Students appeal in writing within ten (10) University Calendar Days of its receipt. A copy of this form with your ruling shall be forwarded in a confidential envelope to the Office of Student Rights & Responsibilities, Willard-DiLoreto, W 105. Date Received:____________________________ Date of Ruling:_______________________________ Ruling (please explain): _________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________  For the Office of Student Rights & Responsibilities: Date Received: __________________Date of Academic Misconduct Hearing: ____________________ Final Decision of Faculty Hearing Board __________________________________________________ ____________________________________________________________________________________     ():  w x y / 0 u v  % & ' g [ g ~   v w ĴҖ҈ҖҖ҈҈҈҈҈ҴhPhQYOJPJQJ\hPhlybOJPJQJ\hPhQY6OJPJQJ\hPhua6OJPJQJ\hPh,OJPJQJ\hPhuaOJPJQJ\hPh,5OJPJQJ\hPhua5OJPJQJ\2()x y / 0 u v & '   v w y wx dgdQY dgdlyb dgd, $dgd, $da$gd,w x y '(|ɻynccXcMhQYOJPJQJ\h,0OJPJQJ\hZYOJPJQJ\hR,OJPJQJ\hLLOJPJQJ\h2OJPJQJ\hPOJQJhPhPOJQJhPhPOJPJQJ\hPOJPJQJ\hPhlybOJPJQJ\hPhQY5OJPJQJ\hPhuaOJPJQJ\/jhPhuaOJPJQJU\mHnHu7Hwx)*,%?ǺǠǐsfXXJXJXXhPhlybOJPJQJ\hPhuaOJPJQJ\hua5OJPJQJ\h$k5OJPJQJ\hPhua5OJPJQJ\hPhlyb5OJPJQJ\2jhPh25OJPJQJU\mHnHuhP5OJPJQJ\hPhQY5OJPJQJ\hPOJPJQJ\hPhQYOJPJQJ\hPhP5OJPJQJ\x*,rs dgdua dgdQY dgdP dgd,?IqrsͿhuaho.Dh,h mjh mUhPhPOJPJQJ\hPOJPJQJ\huaOJPJQJ\hPhuaOJPJQJ\hPhlybOJPJQJ\  dgd,$a$gd, 21h:plyb/ =!"#$% x 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666 OJPJQJ_HmH nH sH tH J`J CNormal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List 4@4 f/M0Header H$6/6 f/M0 Header CharCJaJ4 @4 f/M0Footer H$6/!6 f/M0 Footer CharCJaJR2R 4 Balloon Text dCJOJQJ^JaJN/AN 4Balloon Text CharCJOJQJ^JaJB' QB Comment ReferenceCJaJ<b<  Comment TextCJaJ:q:  Comment Text Char@jab@  Comment Subject5\F/F  Comment Subject Char5\PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y $  w ? x T # @   (  B   v>Y?F@ TUTT"?B   v>Y?F@ TUTT"?B S  ?H0(  w :% jY:%Y  u[gQ['0|", 3333333((~~'()*    ? ? q  1$,R,,0o.D@DLLPQYlyb$k m wz<,uaZYN2r_ @ @@UnknownG.[x Times New Roman5Symbol3. .[x Arial7..{$ Calibri5. .[`)TahomaC.,.{$ Calibri LightA$BCambria Math"1hyҪgzҪgD+uSuS!n0 3Q@P  $PC2!xxFs  pozorskia=Reis, Stephanie (Office of Student Rights & Responsibilities) Oh+'0 ,8 X d p | pozorskia Normal.dotm@Reis, Stephanie (Office of Student Rights & Responsibilities)3Microsoft Office Word@F#@P;@B@LBuS ՜.+,0  hp  (91Ʒ Connecticut State University   Title  !"$%&'()*,-./012569Root Entry FP<= C81Table#WordDocument 4 SummaryInformation(#DocumentSummaryInformation8+MsoDataStore*< C< CFFTUK2==2*< C< CItem PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q