THE NEW YORK STATE EDUCATION DEPARTMENT

CERTIFICATION OF COMPLETION

SAFE SCHOOLS AGAINST VIOLENCE IN EDUCATION (SAVE)

Part A TRAINEE INFORMATION

The Provider, GST BOCES, will submit completion information to NYSED's TEACH database twice each
month. There is no need for you to send this certificate to BOCES or NYSED - it will be
uploaded to TEACH. Keep a copy for your records, please.
1. Trainee Name

Last Name: Mann

First Name: Taylor

Middle Name/Initial: D

2. Trainee Address

Street: 67 sleepy valley rd

City: warwick State: NY Zip Code: 10990

3. Date of Birth: 01/07/97 (required by NYSED for uploading to TEACH system)

4. Social Security ID: ***-*6-8395 (required by NYSED for uploading to TEACH system)

Part B CERTIFICATION BY APPROVED TRAINING

PROVIDER
The workshop certificate of completion will be returned to the trainee within 21 calendar days of the
completion of course work or training.

Pursuant to Chapter 181 of the Laws of 2000, I certify that the person indicated in Part A has completed the
required coursework or training regarding the Safe Schools Against Violence in Education.

Course Name: Safe Schools Against Violence in Education (SAVE)

Name of Authorized Certifying Officer Approved Provider Name

Betty DeNardo GST BOCES
Signature of Authorized Certifying Officer Identification Number: 03

Training/Course work Completion Date: 11/26/2017

GST Authentication Code: SAV20W40EVRX0180TZUB

For questions regarding this certificate, please phone or email Betty DeNardo,
Teacher Certification Coordinator, GST BOCES, (607) 739-3581 x2215 or bdenardo@gstboces.org

Name and Address of Authorized Provider:

Greater Southern Tier BOCES, Bush Campus, 459 Philo Road, Elmira NY 14903
Phone: (607) 739-3581
Website: http://www.gstboces.org
Workshop Website: http://www.gstboces.org/save