2. This form is used to electronically submit the Acknowledgement Form confirming 1) completion of Orientation and Handbook Training; and 2) receipt and understanding of the Handbook for members of city advisory bodies.

4. First Name:*
5. Last Name:*
7. Advisory Body(ies) Appointed to:*
11. Date Orientation Training Completed:*
    Date Orientation Training Completed:

    By typing my name below and submitting this form, I confirm that I attended the mandatory Orientation and Handbook Training (or watched the training video in its entirety) on the date indicated above.

    I further acknowledge that I have received a copy of the El Cerrito Handbook for City Advisory Body Members and understand that it is my responsibility to read and comply with the policies contained in this handbook and any revisions made to it.

13. Signed: *
Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field