#__________

INFORMAL RESOLUTION

Consent Agreement

Student’s name (please print) Complainant’s Name (please print)

Student’s Social Security Number Department or College/School

Semester Date

Course Prefix, Number and section

Type of Charge:

The undersigned individuals have engaged in an informal resolution meeting on ___________

(date)

to fully discuss allegations of academic misconduct occurring on__________

(date)

and have reached the following agreement:

The student acknowledges that he or she has been fully advised of his/her rights as contained in the Rights and Responsibilities of Student’s Handbook or FIU Student Handbook, and that he or she enters into this agreement with full knowledge and consent. This agreement may be canceled by the student, in writing, within three school days of this informal meeting. This agreement shall be binding upon the parties, subject to final approval by the Office of the Vice President of Academic Affairs. One semester prior to graduation, a student may request, in writing, to have this record expunged.

Student’s signature Complainant’s signature

This agreement is hereby approved/disapproved by the Office of Academic Affairs.

By:

Kenneth E. Johnson, Assistant Vice President

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