RECEIPT OF DRUG-FREE WORKPLACE POLICY STATEMENT

LAKE COUNTY SCHOOLS RECEIPT OF DRUG-FREE WORKPLACE POLICY I hereby acknowledge receipt of the Lake County School Board’s Drug-Free Workplace Policy. I understand that the name, address and telephone number of the employee assistance program is available to me by contacting the Compensation, Benefits and Employee Relations Department. I also understand that this signed receipt of the Lake County School Board’s Drug-Free Workplace Policy statement will become a permanent part of my personnel file. __________________________________ Type or Print Name __________________________________ Signature _______________ Date

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