Wilson, Michael tf
WON
PALM BEA'" COUNTY
CODE OF ETHICS
TRAINING ACKNOWLEDGEMENT
C
Honesty-Integrity-Character
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Legal Name: 1 (Please print clearly)
Employee Identification Number:
Agency/Municipality: Dept/Board:
By signing this acknowledgement, I am attesting that I have done the following:
K Read the Palm Beach Countv Code. of Ethics Ordinance fCtrI+CIlck to follow link),
AND
Have completed additional training by viewing one of the following:
[ ] The Code of Ethics Training Program on the Intranet/Internet. (Ctrl+Click to follow link)
gThe Code of Ethics Training Program on YouTube. (Ctrl+Click to follow link)
The Code of Ethics Training Program on DVD.
A live presentation given on 20
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me by my supervisor or through official notices.
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(Le I Ia tura (Date)-11
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach,Fl. 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethicsgpalmbeachcountyethics.com
Website- www.naimbeachcountyethics.cogi
Rev.01/2017
1
A
PALMBEACHCOUNTY
CODE OF ETHICS
TRAININGACKNOWLEDGEMENT
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Legal : `f ~
L (Pleaset clearly)
Employee Identification r. hA
Agency/Munidpality. C, •
By signing is acknowledgement, I am aftesting that I have done the Il in :
ReW the
I I c rl f to link)
AND
Have Ieted additional training by viewing one of the fbilowing:
[ I Thei Training Program on the IMnatfinternet.( I Ii )
The Code of EthicsTraining r .( nk)
[ ] The Code of EthicsTraining r .
C lA live presentation given on
I understand that 1 am responsibler understanding and abidingI
County f Ethics as I conduct my assignedduring term of employment.
I also understandt the information in this policy is subjectPolicy
IIbe r or 1 notices.
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Advfsc!�rd
Su d fo Ap�pWdate Mdvlm�yBoard Mepr!saanw�v
PLEASE SUBMIT THIS I
PLEASE DO NOT SUBMIT r COMMISSION 1
300 North Dbde Highway,Suke 450,West Palmeach,Fl. 33401
PHONE: 1355-11S : S61.3SS-1904
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Rev.0112017