OCPM EXAM VERIFICATION AND SIGNATURE PAGE

OCPM EXAMINATION You must verify that you have done your own work in taking this examination and that all the responses submitted reflect your own efforts. Please sign and attach the following statement to certify the authenticity of the work submitted. EXAM VERIFICATION AND SIGNATURE Electronic submission of this exam provides certification that the answers submitted reflect your own efforts and your own work. Please check the box to state that you understand and agree with this policy. This will constitute as your electronic signature. NAME ______________________________________________________________ DATE SUBMITTED _________________________ COHORT ________ With this signature (or by checking the box below), I certify that the answers submitted to the OCPM program reflect my own efforts and work. _____________________________________ Signature of OCPM Participant Electronic Signature