School Psychologist (093) Certificate Page 3
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11ETHICS COMPLIANCE STATEMENT
This agreement must be submitted prior to the issuance of a School Psychologist Certificate
I, ______________________________, SS# __________________________, agree to abide by the
code of ethics endorsed by the Advisory Committee of School Psychologist (ACSP) during the lifetime
of my certificate.
___________________________________________
Signature
For a complete list of the codes of ethics endorsed by the ACSP, please see the Maine Department of
Education School Psychologists website:
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