Interview Integrity Incident Report Form
Report and document incidents compromising the integrity of interviews. Please provide as much detail as possible to ensure a thorough review.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Role
*
Please Select
Interviewee
Interviewer
Observer
HR/Recruiter
Other
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Interview (Physical or Virtual Platform)
*
Interview Type
*
In-person
Phone
Video/Virtual
Other
Names of Interviewer(s)
*
Names of Interviewee(s)
*
Type of Integrity Issue
*
Cheating or use of unauthorized materials
Impersonation
Inappropriate communication or conduct
Technical manipulation (e.g., software tampering)
Conflict of interest
Other
Detailed Description of Incident
*
Were there any witnesses?
*
Yes
No
If yes, please list the names of witnesses
Supporting Evidence or Files (screenshots, documents, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Actions Taken (if any)
Recommendations or Additional Comments
Would you like to be contacted for follow-up?
*
Yes
No
Submit Report
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