We, the undersigned do hereby attest to the fact that we

advertisement

LYDIA / Safe Families for Children, Northwest Indiana (219) 741-0569 P.O. Box 433 Cedar Lake, IN 46303 TRAINING COMPLETION We, the undersigned do hereby attest to the fact that we have completed the Safe Families For Children Training DVD/web-site curriculum. We understand that this training may not be comprehensive of every situation we may encounter and are willing to seek further information as the need arises. We would appreciate any feedback you have to offer on this training: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Signed: __________________________________ ____________________________________ Printed Name Printed Name __________________________________ ____________________________________ Signature Signature __________________________________ ____________________________________ Date Completed Date Completed Please mail this form to the above address. OR E-mail to [email protected]

.

If you are e-mailing this form, your name typed in ‘signature’ is representative of an electronic signature.

Download