Affirmation/Confirmation of Course Completion

Affirmation/Confirmation of Course Completion

Workplace Harassment Training for Supervisors and Managers

Civil Rights Training Course

This form must be submitted to give you credit for completing the course

I, _______________________________ have completed the Workplace Harassment Training for Supervisors and Managers, Civil Rights Training. As a participant/partner of USDA, I understand that I am personally expected to follow the USDA policy concerning Workplace Harassment while carrying out USDA duties and activities. I will use my understanding and knowledge about Workplace Harassment in a manner that supports the USDA policies.

Employee Name: _____________________________ Date:

(Please Print)

Employee Signature:

Name of Organization:

NOTE: This form must be kept on file by the organization. Please do not send forms to the FAS Civil Rights Office.