University of Arkansas at Monticello
MONTICELLO-CROSSETT-MCGEHEE
UAM Annual Security and Fire Safety Report
Acknowledgment Form
This acknowledgement form is to be signed by all interviewees and returned to the Human Relations
Officer within two days of the interview.
My signature verifies that I have received notification that the University of Arkansas at
Monticello Annual Security and Fire Safety Report is available online at the UAM webpage
http://uam-web2.uamont.edu/pdfs/Student%20Affairs/AnnualSecurityAndFireSafetyReport.pdf.
I also understand that I may request and receive a printed copy by contacting the University
Police, 211 Science Center Road, Monticello, AR 71656.
Candidate Name
Candidate Signature Date
Position Interviewed for:
Department:
click to sign
signature
click to edit