MANDATED INFORMATION

							                MANDATED INFORMATION
                   DOCUMENTATION

I have received in-service training and read the information in the
MANDATED INFORMATION PACKET. The training contained information
on the following topics.

       CHILD ABUSE REPORTING REQUIREMENTS

       DRUG FREE WORKPLACE

       INFECTIOUS DISEASES

       SEXUAL HARASSMENT

       SAFETY POLICY

       EMERGENCY PREPAREDNESS

       HAZARDOUS MATERIALS

       WORKER’S COMPENSATION

       CRIME REPORTING

NAME:________________________________________________________________

SCHOOL SITE:_________________________________________________________

SIGNATURE:__________________________________________________________

DATE:________________________________________________________________

I understand that if questions arise about this information, I will contact my
immediate supervisor,

FILL OUT THE ABOVE INFORMATION AND RETURN TO THE SPECIAL
EDUCATION DEPARTMENT