James Madison University Honor Council
Formal Honor Violation Report Form

I. Reporter Information

Name: ________________________________________________

Office: (faculty or staff) __________________________________

Address: (Other) ________________________________________

______________________________________________________

Phone: _____________________ E-Mail:____________________

Date:    _____________________

II. Course Information
(Where the possible honor violation took place)

Course Title: ___________________________________

Course Number: ________________________________

Semester: ______________________________________

III. Student Information

Name: _____________________________________

Student ID Number: _________________________

Year: ___Freshman  ___ Sophomore  ___ Junior  ___ Senior  ___Grad.

Student Address (JMU):__________________________________

Phone (JMU): ___________________

Cell Phone:___________________

E-Mail: _________________________

Permanent Address:_________________________________________

______________________________________________________

IV. Violation Information

Date of possible honor code violation: _______________________

Date of discovery of the possible honor code violation: ___________

Description of possible violation (use back of page if needed): _______________________________________________________

_______________________________________________________

_______________________________________________________

Names of other individuals who might have information regarding
the possible honor violation.

Name: ___________________________
Phone:___________________________
E-Mail:__________________________

Name: ___________________________
Phone:___________________________
E-Mail:__________________________

Return to:

Honor Council Office

Chandler 133

MSC 0304