Student Assignment Originality Declaration Form
Please complete this form to declare that your assignment submission is original and all sources are properly attributed.
Full Name
*
First Name
Last Name
Student Email Address
*
example@example.com
Student ID Number
*
Course Name or Code
*
Instructor Name
*
Assignment Title
*
Due Date of Assignment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Briefly describe your assignment submission
*
Declaration of Originality
*
I confirm that this assignment is my own original work, and all sources and collaborators are properly acknowledged.
Additional Comments (optional)
Submit Declaration
Should be Empty: