Teacher Policy Acknowledgment Form
Identify the policy or handbook and confirm your acknowledgment.
Teacher full name
*
First Name
Last Name
Work email
*
example@example.com
School or campus
*
Position and grade level
*
Academic year
*
Policy or handbook title
*
Policy version or effective date
*
I acknowledge that I have read and understood the policy or handbook identified above, and will follow its applicable requirements. I will ask my school administrator if I have questions.
*
I acknowledge
Teacher signature
*
Acknowledgment date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: