CODE OF CONDUCT FOR CUSTODIANS OF PEOPLE WITH SPECIAL NEEDS

CODE OF CONDUCT ACKNOWLEDGMENT FOR CUSTODIANS OF PEOPLE WITH SPECIAL NEEDS

I pledge to prevent abuse, neglect, or harm toward any person with special needs, consistent with agency policy. In addition, to the extent I am required to report abuse, neglect, or harm of any person with special needs by law, rule, or regulation, I agree to abide by the law, rule, or regulation. If I learn of or witness any incident of abuse, neglect, or harm toward any person with special needs, I will offer immediate assistance, notify emergency personnel, including 9-1- 1, and inform the management of this organization consistent with agency policy.

I acknowledge that I have read and that I understand the Code of Conduct.

Full Name

Signature (Re-type name, this will count as your signature)

Your Email

Date (DD/MM/YYYY)

Program

Department

Facility/Provider 0rganization