for
Date of Completion:[certificate_student_date]
Time of Completion: 2023-06-10 10:05:03
Email: [certificate_student_email]
Your Worksite Name: ____________________________________________
I hereby certify that I have completed training for Child Abuse and Neglect. I further certify
that I am aware of my responsibilities as related to laws governing this topic and
understand I can be subject to disciplinary action for non-compliance.
Name (print/signature) _________________________________ | __________________________________
Date: ________________________________