2022-2023 Receipt of Required Training

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First Name *

Last Name *

School Building or Department *

If you work in more than one school, please check only your primary school

Belmont High School

Burbank Elementary School

Butler Elementary School

Chenery Middle School

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Wellington Pre-School

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Central Office

Technology Department

Custodial/Maintenance

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Employment Group *

Unit A

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Unit C

Unit D

AFSCME

Administrators

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IT Department

Lunch Aides

All other employees

Position *

Belmont Public Schools Email Address *

Digital Signature (Please type your full legal name) *

By signing below I acknowledge that, as a required condition of my employment with the Belmont Public Schools, I have read and understand all of the policies, procedures, and/or protocols listed on the 'BPS Policy & Protocol Modules' webpage for my employment group, and have completed the State Ethics Training Module corresponding to my date of hire.

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