CSMI AI Usage Agreement - Student Acknowledgment Form
This agreement confirms that the student understands and accepts the responsibilities, disclosure duties, and potential sanctions described in the CSMI AI Policy.
2. Agreement Statement
I, the undersigned student, acknowledge that I have:
1. Policy Understanding
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Read and understood the complete CSMI AI Policy (current version listed above)
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Reviewed permitted / prohibited AI usage examples
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Understood mandatory disclosure requirements (AI Assistance Statement)
2. Commitment to Compliance
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Agree to follow all guidelines in the AI Policy
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Commit to disclosing all AI assistance (tool, purpose, scope)
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Maintain a reproducibility / prompt log for substantial work
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Accept responsibility for accuracy, originality, licensing, and traceability
3. Confidentiality and Ethics
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Will not input confidential, personal, embargoed, or proprietary data into external AI systems without authorization
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Acknowledge possible institutional / legal consequences of data misuse
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Use only tools whose data handling I understand (retention, training use)
4. Academic Integrity
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Acknowledge that undisclosed or deceptive AI use = academic integrity violation
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Understand instructor may assign a grade reduction up to 0 for undisclosed AI
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Accept that a mandatory meeting may be scheduled after detection
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Will report suspected serious misuse that compromises fairness
5. Ongoing Responsibility
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Track updates to the AI Policy and adapt practice accordingly
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Participate in proposed AI literacy / integrity training
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Apply the most restrictive rule when course and program policies differ
6. Logging & Reproducibility
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Maintain a structured prompt/interaction log (date • tool • model/version • purpose • scope) for major reports, theses, or large code contributions
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Retain log until final grading / defense is complete
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Provide log to instructor upon request as authorship evidence
7. Use Boundaries
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Use AI for assistance (clarification, refactoring, exploratory drafts) not for final unedited production
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Independently verify every technical, mathematical, and bibliographic claim
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Avoid relying on AI-generated citations without checking primary sources
8. Consequences Acknowledgment
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Understand first undisclosed use may trigger: grade lowered (possibly to 0) + mandatory policy review meeting
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Recognize repeat / aggravated cases may escalate to formal integrity processes
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Accept severe misconduct (fabrication, large undisclosed AI drafting, confidential data leakage) may lead to course failure recommendations / disciplinary referral
Specific Course Acknowledgments
I understand that individual courses may have additional or more restrictive AI policies, and I agree to:
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Review course-specific AI guidelines at the beginning of each semester
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Ask for clarification when AI usage guidelines are unclear
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Follow the most restrictive policy when there are conflicts
Digital Signature
- Student Signature
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- Date
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- Electronic Acknowledgment
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I confirm this agreement electronically
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For University Records
- Faculty Witness
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- Date Received
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- Academic Integrity Office
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This agreement is valid for the 2025-2026 academic year (version: 2025-09-07) and must be renewed if the policy materially changes. |
Instructions for Submission
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Complete all sections of this form
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Submit electronically via the university LMS or academic integrity portal
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Keep a copy for your records
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Contact Student Services if you have questions about any part of this agreement
Policy Reference
The complete AI Usage Policy is available at:
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English: CSMI AI Usage Policy
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Français: Politique d’utilisation de l’IA CSMI