Fostering cultures of integrity (Stephens, 2019, p. 9) presents complex challenges for universities. This video and poster presentation looks to explain the systemic barriers that tertiary institutions face in combating integrity issues and outlines some ideas or strategies for universities to build cultures of integrity and attract investment from all levels of stakeholders in an institution-wide top-down and bottom-up enduring campaign. It outlines an integrity culture change framework demonstrated by one of the Academic Integrity modules at the University of Waikato. Critical first steps involve initially assessing the current climate and gaining leadership resourcing and commitment. At the students’ level, we envisage integrating academic integrity activities such as the Academic Integrity modules, targeted orientations and workshops, and an academic integrity board game. To involve students in understanding academic integrity, we can do interactive activities like poster or video competitions, talks that engage students in discussion, opportunities for self-reflection on values, and practices that encourage a commitment to ethical behaviour. At the stakeholder level it is important to establish an enduring integrity culture that requires pairing top-down policy with ground-up educational practices while addressing reluctance to report violations. It demands framing integrity as integral to learning and encouraging sustained commitment institution-wide.