CODE OF STUDENT CONDUCT ACKNOWLEDGMENT FORM
DUVAL COUNTY SCHOOL BOARD

______________________________
School Name

 _________________________
 Student’s Name (Please Print)

 ______________________________
 Teacher’s Name

 ________
 Grade

I was given a copy of the Code of Student Conduct at school today. I know that the
Code of Student Conduct contains a list of rules for students’ behavior at school.
I understand that it is my responsibility to learn what those rules are and to know
what will happen if I break a rule. I will take my copy of the Code of Student Conduct
home to share it with my parents or guardian.

_______________________
Student Signature/Date

_______________________
Parent or Guardian’s Signature/Date