Pedersen, Dr. Ginger •
o ,. w �l �� PALM BEACH COUNTY
CODE OF ETHICS
� TRAINING ACKNOWLEDGEMENT
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Hanesv-Integriiy-Character
Legal Name: G In P T (i eck P 1[5 e V) (Please print clearly)
Employee Identification Number:
Agency/Municipality: o--/rr}nvi Beg-cc Dept/Board: F-} S is A - PPeser\ - ;Qvi
By signing his acknowledgement, I am attesting that I have done the following:
[ ead the Palm Beach County Code of Ethics Ordinance (Ctrl+Click 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+Cllck to follow link)
[4e The 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.
A (.-§:(41.4:')._ 13/ 17
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63
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: ethics@palmbeachcountyethics:com
Website: www.palmbeachcountyethics.com
Rev.01/2017