James Madison University Honor Council
Informal Resolution Agreement


I. Faculty Information

Name: __________________________________________

Office:_______________________________

Phone: _________________________ E-Mail:__________________

Date: _______________

II. Course Information

Course Title: ___________________________

Course Number: ________________________

Semester: ______________________________

III. Student Information

Name: ___________________________

Student ID Number: _________________________

Student Address (JMU): ___________________________________

_______________________________________________________

Phone: ___________________ E-Mail: _______________________

IV. Incident Information

Date of Incident: ___________________

Date of Discovery of the Incident: _____________________

Description of Incident: ______________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

VI. Agreement Information

Date of Agreement: _______________________________

Description of Penalty: _________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

I hereby certify that I have not and will not drop this class this semester.

Name of Faculty Member: _________________________

Signature: __________________________

Name of Student: ________________________________

Signature: __________________________

Honor Council Coordinator: ________________________

Signature: _________________________

Comments: ___________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Honor Council Office
Chandler 133
MSC 0304