Co-op Handbook Acknowledgment Form
Please complete this form to confirm you have received and reviewed the co-op handbook.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Unit
*
Role/Position in the Co-op
*
Please Select
Member
Board Member
Employee
Volunteer
Other
Membership Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you received a copy of the current co-op handbook?
*
Yes, I have received it.
No, I have not received it.
Have you read and understood the co-op handbook?
*
Yes, I have read and understood it.
No, I have not read it yet.
Is there any section of the handbook you would like to discuss or need clarification on?
Additional Comments or Questions
Signature
*
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: