UA Little Rock Academic Allegation Report Form

Allegation Report Form

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Student Name:(Required)
Please enter a number from 9 to 10.
Faculty Member Name:(Required)
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Nature of Violation (Check all that apply):(Required)
This field is for validation purposes and should be left unchanged.

Note: Regardless of the outcome of the faculty/student conference, the faculty member is responsible for immediately notifying the dean of students/designee of the results. The student is responsible for seeing the Dean of Students/designee within six class days of receiving this form. For information regarding the appeal procedures and fundamental due process/student rights, contact of Office of The Dean of Students,DSC, Room 215, Phone: 501-569-3328.