Fillable Southeast Arkansas College Emergency Notification Opt-Out Form

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Southeast Arkansas College Emergency Notification Opt-Out Form

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The Southeast Arkansas College Emergency Notification Opt-Out Form form is 1 page long and contains:

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  • 3 check-boxes
  • 4 other fields

Country of origin: US
File type: PDF

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____________________________________________________
Southeast Arkansas College
Emergency Notification
Opt-Out Form
-Please Read Carefully-
Please use this form to opt-out of the Southeast Arkansas College Emergency Notification
System. Fill out all fields and e-mail the form to: skuttenkuler@seark.edu
NOTE: By submitting this form you will not receive any emergency notification alerts/messages
on your personal email addresses and phone numbers. You will still receive notifications
through your official campus email address.
Student Faculty/Staff
Name (Last, First):
Student, Faculty or Staff ID #:
Campus Email Address:
I knowingly and voluntarily have chosen to opt-out my personnel contact information from the
Southeast Arkansas College Emergency Notification System. I understand that in the event of a
campus emergency I will not receive first response notifications via my personal email addresses
and phone numbers (mobile/cellular phone, text, home phone). Campus e-mail addresses will
continue to receive emergency notifications.
Yes, I choose to opt-out my personnel contact information from the Southeast Arkansas
College Emergency Notification System.
Signature:__________________________________ Date: ____________________
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Southeast Arkansas College Emergency Notification Opt-Out Form

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Completed 25 July 2020

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