Board Member: _________________________________________
Board Name:
Training Video completed on: _______________
The following annual training certification is required by the Farmers Branch
Ethics Ordinance. Should any of the information provided change during the
course of the year, please advise the City Secretary at 972.919.2503. The City
Secretary is also available to answer any questions you may have regarding this
I understand and agree to abide by the Farmers Branch Ethics Code
including the provisions thereof regarding actual or potential conflicts
of interest. While serving the City these past 12 months (or portion
thereof if newly elected or appointed), I confirm that I have followed
all provisions of the Ethics Code.
If the answer is no: (Please explain)
I hereby certify that the above statement is true and correct. I have also
watched and completed the annual orientation video to satisfy the annual
training for ethics and sexual harassment.
Electronic Signature Agreement. By selecting/marking the check box, you are signing this
Agreement electronically. You agree your electronic signature is the legal equivalent of your
manual signature on this Agreement. You consent to be legally bound by this Agreement's terms
and conditions.
Please submit this form to the City Secretary to be placed in your official file:
By email
By mail or in person to City Hall