FORM-Acknowledgement of Process

ACKNOWLEDGEMENT OF PROCESS

OFFICE OF STUDENT CONDUCT

Date:

Name:

WVU Student ID:

Cell Phone Number:

Indicate who will be interviewing you (select all that apply):

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The Office of Student Conduct administers the Campus Student Code and is tasked with investigating allegations of prohibited conduct.

Read each statement below and initial OR type in the space provided following each statement indicating you understand that statement:

1. Full cooperation with the investigation is expected. Failure to do so or being untruthful during the course of the investigation may result in action being taken against me.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

2. Retaliation against anyone filing a complaint or participating in an investigation is a direct violation of the Student Conduct code and as such can be charged and sanctioned. Thus, I am reminded not to retaliate against anyone involved in the investigation and if I feel I am being retaliated against, I will contact the Office of Student Conduct immediately.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

3. Allegations of prohibited conduct are investigated and handled in accordance with Board of Governor’s Governance Rule 1.6, Academics Rule 2.5, and Policy 31 as well as its implementing procedure as outlined in the Campus Student Code. At your request, you will be provided with these documents or a link to access them electronically.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

4. Information gathered during the investigation, including the interview, will be handled as discreetly as possible but may be disclosed to those with a reasonable need to know, including others involved in the investigation or hearing. Therefore, absolute confidentiality cannot be guaranteed and any information gained during the course of this interview may be used as the basis for additional charges.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

5. Any documents or evidence provided may also be disclosed as necessary as part of the investigation and resolution of this matter.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

6. I have had all my questions about this process answered and am ready to proceed with my interview.

With my initial below, I certify my understanding of statement.

Initial:

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I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name:

By signing OR typing below, I hereby acknowledge that I fully understand the interview process as outlined herein, that I have been given an opportunity to ask questions, and that all questions have been answered to my satisfaction.

Signature:

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clear

I am unable to sign the field above and require a disability-related reasonable accommodation. By typing my full name below, I certify my understanding of statement.

Type Full Name: