Waiver for Professional Liability Insurance
Dare to Lead Facilitator Certification
Waiver for Professional Liability Insurance
Proof of professional liability/indemnity/E&O insurance is a requirement of the Dare to Lead Facilitator Certification program. Applicants who will facilitate Dare to Lead Curriculum only within their sponsoring organization may sign a waiver for professional liability insurance.
All applicants must be full-time employees of the organization.
_____________________ (applicant name) waives the requirement for proof of professional liability/indemnity/E&O insurance by acknowledging the following: (please initial)
____ I confirm I am a full-time employee of the sponsoring organization
(organization name) : _____________________________________.
____ I confirm I will only facilitate Dare to Lead Curriculum within my organization for employees of my organization.
____ I confirm I will not offer Dare to Lead Curriculum outside of my organization.
Signature:
Email:
Phone number:
Date: