I acknowledge that I received a copy of Lesley University’s Guidelines for Interacting with Children. I read and understand the Guidelines for Interacting with Children and agree to comply with the Guidelines for Interacting with Children. I understand that I should contact the program supervisor or the University General Counsel with any questions regarding the Guidelines for Interacting with Children. I to immediately notify the Office of Human Resources of my arrest or conviction involving crimes of a violent or sexual nature. ____________________________________ Name (Printed) ____________________________________ Signature ____________________________________ Date ____________________________________ Program Note to Program Supervisors: Retain this page but ensure that the individual signing this form retains the Guidelines for Interacting with Children for future reference.
I acknowledge that I received a copy of Lesley University’s Guidelines for Interacting with Children. I read and understand the Guidelines for Interacting with Children and agree to comply with the Guidelines for Interacting with Children. I understand that I should contact the program supervisor or the University General Counsel with any questions regarding the Guidelines for Interacting with Children. I to immediately notify the Office of Human Resources of my arrest or conviction involving crimes of a violent or sexual nature. ____________________________________ Name (Printed) ____________________________________ Signature ____________________________________ Date ____________________________________ Program Note to Program Supervisors: Retain this page but ensure that the individual signing this form retains the Guidelines for Interacting with Children for future reference.