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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