Certification Page


1. I certify that I have read the slides on Civil Rights & Section 504.

2. I certify that I understand the entire text on Civil Rights & Section 504.

3. I certify that I have read the slides on DESE Physical Restraint Requirements.

4. I certify that I understand the entire text on DESE Physical Restraint.

5. I certify that I have carefully read the text on confidentiality.

6. I certify that I understand the entire text on cofidentiality.

7. I certify that I have read the text on Non-Discrimination & Sexual Harrasment.

8. I certify that I understand the entire text on Non-Discrimination & Sexual Harrasment.

9. I certify that I have read the slides on the Massachusetts Right to Know.

10. I certify that I understand the entire text on Massachusetts Right to Know.

Please type today's date (example: xx/xx/xxxx)

Please type your FULL NAME and click "SUBMIT"

Once you have completed the form above, click SUBMIT. You will then be prompted to type a random set of words froman image box. After typing the set of words in the text field, click Submit again. If you have difficulty reading the words, click Refresh Image for a new set of words.

Please Note: Your form will not be sent until you see themessage, "The form has been submitted".