Training Module Completion
Please complete this form as you complete one or more of the training modules assigned to you by your school district or organization for ESI, Annual PDC Training, Bloodborne Pathogens, Driver Safety, and FERPA / HIPAA, Home Visits, Sexual Harassment, Suicide Prevention, and/or Homeless Liason.

Please note: Entering your email address accurately is very important because you will receive an email with your responses to then send on to your supervisor or director as verification that you completed one or more modules.

Email address *
Please enter your first name. *
Your answer
Please enter your last name. *
Your answer
Please enter your role within your school district or organization *
Your answer
Please select the online training module(s) you have completed. *
Select all that apply.
Please read the statement below to affirm your participation in, and completion of, one or more of the modules assigned to you. *
When you have read and agree to the statement, please use the Submit button below.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Southeast Kansas Education Service Center. Report Abuse - Terms of Service - Additional Terms