Acknowledgement of UB’s Child Protection Policy and Requirements Form

Outside entities including visitors, vendors, licensees, permittees, and guests utilizing university facilities to host events or activities that include children are required to complete this form before the activity or event occurs.

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Completing the PDF Form

  1. Read through the document to find specific instructions
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the completed signed form to the appropriate Responsible UB Official

Need Help Completing the Form?

Send email, phone or submit a question

Contact the Office of Equity, Diversity and Inclusion if you do not know who the Responsible UB Official is for the campus location your activity or event will take place.

Sharon Nolan-Weiss

Nolan-Weiss, Sharon


Equity, Diversity and Inclusion

Phone: 716-645-2266


(We'd like to respond to you.)

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 7/2015

Owner: Policy and Operational Excellence