ACADEMIC HONESTY FILE ACCESS - Benedictine University
Health Sciences Recommendations Committee (HSRC)
ACADEMIC HONESTY RELEASE
I, _________________________________________ certify that the information contained in
(print name)
my Health Sciences Recommendation Committee Application is true to the best of my knowledge. I also do hereby authorize access to the Chairperson of the Health Sciences
Recommendations Committee to view my full University Academic Honesty File for the purpose of writing a Committee recommendation letter. I understand that any Academic Honesty issues contained within my university file may disqualify me from participating in the HSRC interview process and prevent a letter of support being composed by the HSRC on my behalf.
_____________________________________________ Date: __________________________
(Student’s signature)
(for office use only)
Individual accessing the Academic Honesty File: ______________________________________
Date: __________________________________
Individual accessing the Academic Honesty File: ______________________________________
Date: __________________________________
Approved by Dept. Chairs Council 3-10-05
Revised 9-23-16
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