Generative AI use statement
[Delete the option that does not apply to you.]
EITHER
OPTION 1: No AI used
I, [insert name here], hereby confirm that I used no generative AI tools or systems in the completion of this
assessment. I confirm that the document I have submitted was entirely written by me.
I acknowledge that any undeclared use of generative AI will constitute academic dishonesty and will be dealt with
according to relevant University policy.
I understand that I will be held accountable for any academic misconduct that arises in breach of any relevant
University policy, as well as the consequences of such infringements.
Supporting evidence
1. Ensure you have saved your drafts, version history, etc., so that you can produce it if your course coordinator
requires it.
OR
Option 2: AI used
I, [insert name here], hereby confirm that I used [insert AI system(s) and link(s)] to [specific use of generative artificial
intelligence] [number of iterations/drafts]. The tool(s) was/were used to provide [describe content used in task]. The
output from the tool(s) was/were modified by [explain use].
1. When using AI, I have ensured that the work produced is still my own and I understand that submitting
unmodified output from a generative AI tool as my own is NOT acceptable. I understand that I am expected to
build on the output, ensuring any submissions are my own ideas and knowledge.
2. I acknowledge awareness of any updates to the generative AI tools used, up to the date of this submission. This
includes AI plug-ins or assistants included in existing programs, such as Grammarly. I take responsibility for any
fabricated references or factual errors stemming from the use of these tools.
3. I have informed myself of the limitations and implications of using generative AI and related technologies,
including the reinforcement of biases and propensity for fabrication.
4. I have used these tools ethically, including not uploading confidential, private, personal, copyrighted, or
otherwise sensitive information.
5. To assist with maintaining academic integrity, I have appropriately acknowledged any use of generative AI in
my work (list below as applicable).
6. I acknowledge that any undeclared use of generative AI will constitute academic dishonesty and will be dealt
with according to relevant University policy.
7. I understand that I will be held accountable for any academic misconduct that arises in breach of any relevant
University policy, as well as the consequences of such infringements.
Supporting evidence
1. Ensure you have saved your drafts, version history, etc., so that you can produce it if your course coordinator
requires it. Complete the information in the following blocks (page 3), or as required by your course
coordinator, for each tool. Add additional blocks as needed.
Tool used:
(Include link)
Date accessed:
Prompt(s) entered:
(Write the prompt(s) out in full. Use screenshots if necessary)
Prompt output(s):
(Provide the full output from the tool. Use screenshots if necessary)
Modification for assessment:
(Explain how you adapted the output from the AI when you incorporated it into your assessment)
Contribution to learning:
(Reflect on how the tool has helped or hindered your learning)
Tool used:
(Include link)
Date accessed:
Prompt(s) entered:
(Write the prompt(s) out in full. Use screenshots if necessary)
Prompt output(s):
(Provide the full output from the tool. Use screenshots if necessary)
Modification for assessment:
(Explain how you adapted the output from the AI when you incorporated it into your assessment)
Contribution to learning:
(Reflect on how the tool has helped or hindered your learning)
Tool used:
(Include link)
Date accessed:
Prompt(s) entered:
(Write the prompt(s) out in full. Use screenshots if necessary)
Prompt output(s):
(Provide the full output from the tool. Use screenshots if necessary)
Modification for assessment:
(Explain how you adapted the output from the AI when you incorporated it into your assessment)
Contribution to learning:
(Reflect on how the tool has helped or hindered your learning)
Tool used:
(Include link)
Date accessed:
Prompt(s) entered:
(Write the prompt(s) out in full. Use screenshots if necessary)
Prompt output(s):
(Provide the full output from the tool. Use screenshots if necessary)
Modification for assessment:
(Explain how you adapted the output from the AI when you incorporated it into your assessment)
Contribution to learning:
(Reflect on how the tool has helped or hindered your learning)
Use additional blocks as required