Learner Conduct Agreement
Please review and acknowledge the expectations for learner conduct before participating.
Learner Information
Please provide your personal details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Course/Program Name
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Review Learner Conduct Expectations
*
Key Conduct Expectations
Understanding Check: What should you do if you witness inappropriate behavior?
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Report it to an instructor or supervisor immediately.
Ignore it; it's not your responsibility.
Participate in the behavior.
Other
Signature
*
Date of Agreement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Agreement
Submit Agreement
Should be Empty: