OSC_Appeal to the Dean of a School

Fields marked with an asterisk (*) are required.

• Name *

  First Last
• Student ID# *
• Email *
• Date of meeting with faculty member *

  / MM / DD YYYY
• Faculty member name *

  First Last
• Course and section number *
• Dean of the School *
  College of Liberal Arts and Sciences Library Sciences Ernestine Raclin School of Arts School of Education Judd Leighton School of Business College of Health Sciences School of Social Work
• Charge of Misconduct (choose all that apply) *

  G1 Cheating G2 Fabrication G3 Plagiarism G4 Interference G5 Violation of Course Rules G6 Facilitation Academic Dishonesty
• Outcome of your meeting with the faculty member (choose all that apply) *

  Written reprimand Repeat/resubmit work Complete additional assignment Lower or failing grad for work Lowered course grade Withdraw from course Failing grad for course Other
• If other
• What is the basis for your appeal? *

  I was not afforded due process per the Indiana University South Bend Procedures for Personal Misconduct. The finding of responsibility failed to meet the preponderance of information standard. That the sanction(s) imposed were not proportionate to the act of misconduct.
• Do you acknowledge you have read the following procedures for appealing to the Dean of the School? *

  The Dean of the School, department Director, or a unit hearing board will have the discretion in determining whether the basis for appeal has been met and whether the appeal can move forward. You may be asked to meet with the Dean of the School or his/her designee to resolve your appeal and are willing to cooperate in that request. You understand that the Dean of the School, department Director, or a unit hearing board may decide to impose a lesser sanction, increase a sanction, or uphold the faculty member’s sanction.
• By typing my name in the box below, I acknowledge and have read the above statements upon submission of this request form *