Training Acknowledgment Sheet

Training Acknowledgment Sheet

Student Information

Date of Birth:    Student ID:    Grade / Program:

Parent / Guardian (If Applicable)

If the student is under 18, the parent or guardian must complete the following. Parent/Guardian Full Name:

Training Session Details

Training Title:

Instructor:    Date:    Time:

Duration (hours):    Maximum Participants:

Materials and Assessment

Materials provided (check all that apply): Handout packet Online resources Certificate of completion None

Minimum Passing Score (if applicable):

Policies, Rights, and Responsibilities

Confidentiality: All students must respect confidential information disclosed during this training. The student acknowledges that any personally identifiable information or student work designated as confidential will not be disclosed outside the authorized audience without prior written consent. Unauthorized disclosure may result in disciplinary action.

Safety and Conduct: The student agrees to follow all safety instructions provided by the instructor, to use equipment only as authorized, and to behave in a manner consistent with institutional codes of conduct. Failure to comply may result in removal from the session without credit.

Recording and Photography: Recording, photographing, or broadcasting training content is permitted only with the express written permission of the instructor and training administrator. By signing below, the student acknowledges understanding of this restriction.

Accommodations: Requests for disability-related accommodations must be submitted in writing to the institution's designated office prior to the training date. The institution will make reasonable efforts to provide accommodations in accordance with applicable law.

Acknowledgment and Consent

I acknowledge that I attended or will attend the training listed above and that the information I provided on this form is true and accurate. I understand the policies described in this document and agree to abide by them. I understand that completion requirements, assessments, and any resulting certification are governed by the assessment criteria above and by institutional policies.

Initial each applicable statement to indicate your understanding:
I received or was provided access to required training materials. I understand and will comply with confidentiality, safety, and conduct requirements. I understand the assessment requirements and passing criteria for certification. I acknowledge the restrictions on recording and photography described above.

Medical / Special Considerations

Emergency Contact Name:    Phone:

Signer Status

Select the status of the signer. If the student is 18 years of age or older, the student signs. If under 18, the parent/guardian must sign.
I certify that I am 18 years of age or older and am signing as the student. I certify that I am the parent or legal guardian signing on behalf of the student.

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