Young, Shaquira C
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o4. . 0►, ' ;:,.54.1 PALM BEACH COUNTY. . •
I CODE OF ETHICS :
9 . ,�; TRAINING ACKNOWLEDGEMENT .
eFACH CE . .
Honesty-Int :i Character - :
egrty=
Legal Name:. . -' c�� UV ODU'1 (Please.print clearly)
Employee.Identification Number:
AgencylMunicipality: otti 1 (7 gc...61 Dept/Board _ E .ei.c, ,crex 0.x.41. .L ,
Bysigningthis acknowledgement;.I:am attesting that I have done the following:. ._ : =
[1,14ead.the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to followlink)
: AND.. ' : ' : . : .
Have completed additional training by viewing one of the.following:
[ 1 The Code of Ethics Training Prograni on the:Intranet/Internet: (Ctrl+Click:to follow link)
: [ he-Code of Ethics Training Program on YouTube. (Ctrl+Click'to follow link)
[ .l The:Code of Ethics Training Program on:DVD: :
[ ].A live-presentation given on 20 r. : :
. . : I understand: that ll am:responsible for,.understanding:and abiding: by the Palm Beach
: County Code of-Ethics as I conduct.my assigned dutiesduring:myterin of employment:
I also understand thatthe information in this policy issubject to Change :Policy changes-
will be communicated to me by my supervisor or through official:notices. : :
' -.. . 1 : : : filit ' . . * : / I q
(Legal S'4 ) (Date)
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$V •t _ j fijr` r(. �yy; C
AdvisorBoard Members: Submit signedforms A ProPriate Adviso►Y 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
: Hotne: 877.766.5920 E-mail: ethics@palinbeacbCountyethics.com..: -
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: Website:.www:palmbeachcountyethics.com .
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Rev 01/2017 -