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1. Employee/User Information: Section for the individual's identifying information including name, position, department, and employee ID
2. Policy Reference: Clear identification of the Acceptable Use Policy being acknowledged, including its version number and date
3. Acknowledgment Statement: Explicit statement confirming that the signer has read, understood, and agrees to comply with the policy
4. Key Policy Points: Brief bullet points highlighting the most critical aspects of the policy being acknowledged
5. Consequences of Non-Compliance: Clear statement of the potential consequences of violating the policy
6. Signature Block: Space for signature, printed name, date, and witness signature if required
1. Confidentiality Clause: Additional acknowledgment specifically regarding confidentiality obligations, used when the organization handles sensitive data
2. Training Confirmation: Confirmation that the user has completed required training on the policy, used when organization provides specific IT security or compliance training
3. Device-Specific Acknowledgment: Special acknowledgments for specific devices or systems access, used when employee is given access to specific high-security systems
4. Remote Work Provisions: Additional acknowledgments specific to remote work arrangements, used when employee works remotely
5. Third-Party Access: Special provisions for contractors or third-party users, used when the form applies to non-employees
1. Schedule A - Referenced Policies: List of all related policies and procedures that the user is also expected to comply with
2. Schedule B - System Access Details: Specific systems, applications, or resources the user is being granted access to
3. Appendix 1 - Summary of Key Policy Points: Detailed summary of the most important points from the main Acceptable Use Policy
4. Appendix 2 - Contact Information: List of relevant contacts for policy questions, incident reporting, and IT support
Technology
Financial Services
Healthcare
Education
Government
Professional Services
Manufacturing
Retail
Telecommunications
Mining
Energy
Construction
Non-Profit
Legal Services
Transportation
Media and Entertainment
Information Technology
Human Resources
Legal
Finance
Operations
Marketing
Sales
Customer Service
Research and Development
Administration
Executive Leadership
Quality Assurance
Project Management
Data Analytics
Security
Chief Executive Officer
Chief Information Officer
IT Manager
Software Developer
System Administrator
Network Engineer
Data Analyst
Office Administrator
Human Resources Manager
Financial Controller
Marketing Manager
Sales Representative
Customer Service Representative
Project Manager
Business Analyst
Research Scientist
Legal Counsel
Operations Manager
Executive Assistant
Department Head
Intern
Contractor
Consultant
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