Form on Plagiarism
BSOP GUIDANCE FORM ON PLAGIARISM
To be filled out by professor (form to be kept in the student’s academic file)
I. Kind of Plagiarism: put a check whenever applicable
1. Idea Plagiarism
2. Key Term Plagiarism
3. Paraphrasing Plagiarism
4. Word for Word Plagiarism
4.1. block quotation without footnotes
4.2. “cut & paste” from Internet files
5. “Ghost Writer” Plagiarism – asking one’s friend, spouse, or another person to write a paper for you
II. Evidence of Plagiarism: See Attached Paper/Assignment of Student
III. Action Steps Taken by Faculty:
Course in which plagiarism occurred:
Name of Professor: Date:
Paper returned to student on (date):
Professor talked to student on (date):
Recommendations of Professor:
Option (1) – give a grade of F (5.0) to this plagiarized paper
Option (2) – allows the student to write the paper with the following conditions:
2.1) the rewritten paper must show the quality of a 2.0 (80-84%) grade paper.
2.2) the rewritten paper must be submitted within two to four weeks on the day a Guidance Form on Plagiarism is filled out both by the faculty and the student.
2.3) the rewritten paper will receive a grade of not more than 3.0 (70=D) if (2.1) is fulfilled, or a grade of 5.0 (F) if (2.1) is not fulfilled.
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To be filled out by student:
I, ____________________ admit that the attached paper is a written assignment work which I turned in on (date) ___________ for partial requirements of the course ______________________course name).
I regret that I have committed __________________________. This is my first ____second ____ third ____ fourth ____ fifth ____ offense on plagiarism.
Student’s signature: _______________________________________
Printed name: _____________, _____________________________
(Last name) (First Name) (Middle Name)
Witnessed by:_______________________
(Name of Professor)
Date: __________________

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