Certificate of Volunteer Student Alcohol Service
(Updated 9/12/03)



I,_______________________________________ in connection with my volunteer employment as a student bartender at official Rice University functions, hereby certify as of the date hereof and as of the date of any such function at which I am so employed that:

 (i) I am a registered student of Rice University in good standing;

(ii) I have successfully completed the Rice University student bartender training program;

(iii) I have read and understand this year's Alcohol Policy as stated in the Student Handbook, posted on line at:
http://www.ruf.rice.edu/~ucourt/alcohol.html

(iv) I have not been convicted of any alcohol-related offenses nor are any proceedings pending against me involving alcohol-related matters, either in a criminal justice system or Rice University's student judicial process (and I hereby consent to you confirming this fact with the Assistant Dean for Student Judicial Programs.) 

I hereby agree that I will promptly inform Rice University if any of the foregoing ceases to be true or complete.

_________________________________

(signed)

 

Name:_______________________________

Date:________________________________

College/Dept/Organization:___________________________

Email:______________________________

 

Retrained by:___________________________

Date First Trained:____________________