Supervisor Name. ARTICLE 36 CLASSIFICATION For the purposes of this Agreement the term “classification and/or class” is defined as a level of work within the statewide job classification system. Where there is a professional structure that includes a job family and a job level, the combination of the job family and the job level constitutes a class, and a change in job family, job level or both is a change in class.
Supervisor Name. For last minute cancellation/update of a YPS event, how would you like to be notified? Do you want any of your contact information shared with other YPSSs? List here or check “share” box(es) above. (name, agency-title, phone/s, email, address) Media Release Form For the use of name, photographs, videotape, and quotations I, ____________________________ give my permission for the Association for Children’s Mental Health to print or publish (including electronically), or share via ACMH social media platforms my name, artwork, poetry, photographs, and video of me and/or to use quotations from me. Participant Signature: Date: Emergency Contact Contact Name Relationship Home Phone Cell Phone Work Phone Other Info? I _____________________________ authorize Association for Children’s Mental Health, to contact the contact listed above should a situation arise while I am at an ACMH function which the Executive director or designee deem to be an emergency. Participant Signature: Date: Youth Peer Support Specialist (YPSS) Pre-Training Questions Name: Employer
Supervisor Name. Write your legal name in the spaces provided. (Last, First, Middle Name, Suffix) Examples of a suffix include Jr., Sr., and II. (Mr. is not a suffix.) 2.
