TJ Integrity Violation Form - CONFIDENTIAL
This form should be used to report integrity violations that you as an individual witness or of which you have first-hand knowledge. It is submitted to the TJ Administration.
This document is not anonymous, but is confidential. Your name will not be used, nor will the discussion of consequences.

It is the intent of the school to minimize cheating and dishonesty.
Please read the TJ Honor Code and Academic Integrity Policy before filling out this form.
Honor Code:
Integrity Policy:

Please enter your name. *
LastName, FirstName
Your answer
Please enter your student ID number. *
Your answer
When do you prefer to talk about this situation? *
Enter a preferred email in case you want to talk outside of a class period.
Your answer
Enter the name of the person who committed the violation? *
LastName, First Name
Your answer
Date of the incident *
ex: Nov. 12, 2012
Your answer
Period *
Course *
ex. Precalculus
Your answer
Teacher *
ex. Mrs. Jane Smith
Your answer
Please describe the incident. *
Your answer
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