Cwynar, Ann Senior Advisory Board tt``Ss-ofv otic•
uo4 # y%N PALM BEACH COUNTY
• ' • CODE OF ETHICS
9 ' �' TRAINING ACKNOWLEDGEMENT
M8tACH C.
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Legal Name: (Please print clearly)
Employee Identification Number:
Agency/Municipality: buyntun beacr� Dept/Board: Senior Advisory Board
By signing this acknowledgement, I am attesting that I have done the following:
v-1 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 Intranet/Internet. (Ctrl+Click to follow link)
(its 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.
.�- /,,? 0,2 3
(Legal Sii�nature) i (Date)
Officials/Employees:Submit signed forms according to your agency's poi
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APPROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE ^O NOT S(,F• TPfg FORM T(1 THE CO' ' ION 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.palrnbeachcountyethics.com
Rev.12/2020