Training Acknowledgement Form

* Required Information

Training Topic *

I acknowledge that I attended the above named training by Jovetee Conzults LLC and reviewed all training materials.

I have a good understanding of the content of the training materials, I have also obtained an interpretation of every section about which I have questions

I am also aware that when appropriate I should seek guidance.

I accept responsibilities for understanding and complying with the training standards and protocols

I agree to apply the knowledge I received from this training when performing the job functions that I have been employed for per agency protocol and state standards for delivery of my job responsibilities.

I understand that failure to comply with job standards may result in termination of my appointment and/or intervention by regulating entities in instances where my practice has become deficient.

Staff Name *

Signature *

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Date

Email Address *

Phone Number *

Signed by Jovetee Conzults LLC Management