Ethics Training Consent Form

ETHICS TRAINING CONSENT FORM

Participant Information

Training Details

Training Title:

Scheduled Date(s):    Location / Platform:

In-person    Virtual synchronous    Asynchronous / self-paced

Consent and Acknowledgment

By checking the boxes below, I affirm and consent to the following terms. These consents are provided to permit the school or program to conduct, record, and retain training records, and to apply academic or administrative policies where applicable.

I voluntarily agree to participate in the ethics training described above and to comply with all training instructions and assignments.

I understand that sessions may be audio and/or video recorded for training, quality assurance, and recordkeeping purposes. I consent to such recordings and to their retention by the institution in accordance with institutional recordkeeping practices.

I consent to the collection and processing of personal information necessary to document attendance, completion, and assessment of this training. Such data will be used for educational and compliance purposes and disclosed only as permitted by institutional policy.

I acknowledge that failure to complete mandatory ethics training or violations identified through training may result in academic or disciplinary action in accordance with institutional codes of conduct.

Confidentiality, Reporting, and Non-Retaliation

The ethics training will address confidentiality obligations, reporting channels for concerns, and protections against retaliation. By signing below I acknowledge understanding of these obligations and that reporting suspected misconduct will be handled in accordance with institutional policy and applicable law.

I understand that records of my participation, assessment, and any reports arising from training content may be retained in my student or personnel file and may be accessed by authorized institutional officials for compliance and investigative purposes.

Accommodations and Medical / Emergency Information

If you require accommodations to participate fully in this training due to a disability or medical condition, request accommodations by providing details below. The institution will make reasonable efforts to provide accommodations consistent with policy.

Completion, Records, and Verification

Completion of required modules, assessments, or attendance is necessary to receive certification of completion. I authorize the institution to verify my identity for training purposes and to record completion status in official records.

I further certify that the information provided in this form is true and accurate to the best of my knowledge. I understand that intentionally providing false information may subject me to disciplinary measures.

Minor Participant / Parent or Guardian

If the participant is under 18 years of age, parent or guardian consent is required. Indicate participant status:

Participant is 18 years or older    Participant is under 18 years (parent/guardian must sign)

Certification and Signatures

By signing below, I certify that I have read, understand, and agree to the terms set forth in this Ethics Training Consent Form. I consent to the collection and use of my personal information for training and recordkeeping purposes and acknowledge the institutional policies described herein. If signing as a parent or guardian, I represent that I am legally authorized to provide consent on behalf of the minor participant.

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