Thomas, Aquanette PALM BEACH COUNTY
• �I CODE OF ETHICS
91
TRAINING ACKNOWLEDGEENT
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Honesty-IwWity-Character
Legal Name: (Please print clearly)
Employee Identification Number:
Agency/Municipality: CAfU of In Dept/Board: I
By signing this acknowledgement, I am attesting that I have done the following:
Read 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 IntranetiInternet. (Ctrl+Click to follow link)
[ ] 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.
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Wal 1gnature) (Date)
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: 877.766.9920 E-mail: ethicsopalmbeachcountyethics.com
Website: www.Dalmbeachgpnn!ygtics.com
Rev.01/2017