Bryant, Jr. John •
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R• CODE OF ETHICS
TRAINING ACKNOWLEDGEMENT
Honesty-Integrity-Character •
•
CD 'II
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Legal Name: )01"\n Crci s 0o n 2.("i' t" (Please print clearly) c�
Employee Identification Number: / 9/(X09 SWL 15,;,05-1 e /D-#)
Agency/Municipality: Oyoa Dept/Board:
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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 Zink[
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)
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 communi ted to me by my supervisor or through official notices.
UI(4)1J9 -
(Legal Sig ature) (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: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.com
Rev.01/2017