Code Of Conduct And Standards Certification Of Compliance

Code of Conduct and Standards Certification of Compliance I have read and received a copy of the Code of Conduct and Standards. I have had the opportunity to ask any questions I might have with regard to its contents and believe I understand fully how the policies relate to my contract. I hereby acknowledge my obligation and agreement to fulfill those duties and responsibilities as set forth in the Code of Conduct and the Standards and to be bound by these standards. I further certify that, throughout the remainder of my association with Jireh Counseling and Consulting Services, Inc., I shall continue to comply with the terms of the Codes of Conduct and Standards. I understand that violations of the Code of Conduct or Standards may lead to disciplinary action, up to and including contract termination. ________________________________________________ Signature

________________ Month / Day / Year

(Name Please Print)

BF100-Code of Conduct Certification

Est. Mar 2008