Acknowledgement of the UB Child Protection Policy and Conduct Requirements Form

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

Mobile Users

For the best experience in completing this form use a non-mobile device.

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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?

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

Sharon Nolan-Weiss.

Nolan-Weiss, Sharon


Equity, Diversity and Inclusion

Phone: 716-645-2266


Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: August 2019

Owner: Policy, Compliance and Internal Controls