Nonprofit Organization Policy Acknowledgement Form
Please review and acknowledge your understanding and acceptance of the organization's policies.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Relationship to the Organization
*
Please Select
Staff
Volunteer
Board Member
Intern
Consultant
Other
Department or Team (if applicable)
Which of the following policies have you reviewed?
*
Code of Conduct
Confidentiality Policy
Anti-Discrimination Policy
Harassment Policy
Health & Safety Policy
Social Media Policy
Other (please specify)
Please confirm your understanding of the following statements:
*
Rows
Yes
No
I have read and understood the organization's Code of Conduct.
1
2
I agree to comply with the Confidentiality Policy.
3
4
I understand the Anti-Discrimination Policy.
5
6
I acknowledge the Harassment Policy.
7
8
I am aware of the Health & Safety Policy.
9
10
If you answered 'No' to any of the above, please explain or indicate which policy you need further clarification on.
Additional Comments or Questions (optional)
Date of Acknowledgement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Acknowledge Policies
Acknowledge Policies
Should be Empty: