George Mason Law School Honor Committee
Initial Referral Form

Section 6.01(a) of the Honor Code provides the requirements for filing an initial referral.

Instructions: Please complete this form (attaching additional pages if necessary), put it in an envelope, and place it in the student mailbox for Amir Katz (Honor Committee Chairman). If possible, please send an e-mail to akatz@gmu.edu to notify him that the form is in his box.

Your name (please print): ________________________________ Year (1D, etc.): __________

Your e-mail address: ___________________________________________

Your phone number: _____________________________________

Name of student(s) you are referring: __________________________________________

Year of the student(s) (if known): ____________

Class or activity involved in the incident: __________________________________

Professor of that class (if applicable): ________________________________________

Date of the incident: __________________________________

Approximate Date the alleged violation was discovered: ____________________________

Describe the conduct that you allege was a violation of the Honor Code (attach additional pages if necessary).

 

 

 

Please circle the subsection(s) of §3.01 of the Honor Code that was/were violated: (1) (2) (3) (4)

If the violation stems from the Writing Program, list the specific LRWA rule(s) broken.

 

 

 

The above information is true to the best of my knowledge (sign and date): _____________________________