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EMPLOYEE SECURITY AWARENESS TRAINING ACKNOWLEDGMENT

[ORGANIZATION NAME]


PART A: TRAINING ACKNOWLEDGMENT FORM

Employee Information

Field Information
Employee Name
Employee ID
Department
Job Title
Manager Name
Hire Date
Training Date

Training Details

Field Information
Training Title [Security Awareness Training / Annual Refresher / Other]
Training Provider [Internal / Third-Party Provider Name]
Training Duration [Hours/Minutes]
Training Method ☐ In-Person ☐ Online ☐ Hybrid
Training Version/Date

PART B: TRAINING TOPICS COVERED

By signing this acknowledgment, I confirm that I have completed training on the following topics:

Information Security Fundamentals

☐ Information security policies and procedures

☐ Confidentiality, integrity, and availability concepts

☐ Data classification and handling requirements

☐ Acceptable use of company systems and resources

☐ Personal responsibility for security

Password and Authentication Security

☐ Creating strong passwords

☐ Password management best practices

☐ Multi-factor authentication usage

☐ Account security and protection

☐ Reporting compromised credentials

Phishing and Social Engineering

☐ Recognizing phishing emails and messages

☐ Identifying social engineering tactics

☐ Reporting suspicious communications

☐ Verifying requests for sensitive information

☐ Business email compromise awareness

Malware and Ransomware Prevention

☐ Types of malware and their impacts

☐ Safe browsing practices

☐ Software download policies

☐ USB and removable media security

☐ Ransomware recognition and prevention

Data Protection and Privacy

☐ Protecting sensitive and personal data

☐ Data handling and storage requirements

☐ Data sharing restrictions

☐ Privacy regulations overview (CCPA, GDPR, etc.)

☐ Customer and employee data protection

Physical Security

☐ Badge and access control procedures

☐ Visitor management

☐ Clean desk policy

☐ Secure document disposal

☐ Reporting physical security concerns

Mobile and Remote Work Security

☐ Securing mobile devices

☐ Remote work security requirements

☐ Public Wi-Fi risks and VPN usage

☐ Home network security

☐ Video conferencing security

Incident Reporting

☐ What constitutes a security incident

☐ How to report security incidents

☐ Incident reporting contacts and procedures

☐ Importance of timely reporting

☐ Protection from retaliation

Cloud and Third-Party Security

☐ Approved cloud services and applications

☐ Risks of unauthorized cloud usage (Shadow IT)

☐ Third-party security considerations

☐ Data sharing with external parties

[Additional Topics as Applicable]

☐ Industry-specific requirements (HIPAA, PCI-DSS, etc.)

☐ Insider threat awareness

☐ Artificial intelligence security risks

☐ Other: _______________________


PART C: KNOWLEDGE VERIFICATION

Assessment Results (if applicable)

Field Information
Assessment Score _____ / _____ (____%)
Passing Score _____%
Pass/Fail ☐ Pass ☐ Fail
Retake Required ☐ Yes ☐ No

PART D: POLICY ACKNOWLEDGMENTS

By signing below, I acknowledge and agree to the following:

Understanding of Responsibilities

☐ I understand that I am responsible for protecting [ORGANIZATION NAME]'s information assets and complying with all security policies.

☐ I understand that security is everyone's responsibility and that my actions impact the organization's overall security posture.

☐ I understand the importance of reporting security incidents, suspicious activities, and policy violations promptly.

Compliance Commitment

☐ I have read and understand [ORGANIZATION NAME]'s Information Security Policy and related security policies.

☐ I agree to comply with all security policies, procedures, and guidelines.

☐ I understand that failure to comply with security policies may result in disciplinary action, up to and including termination of employment.

Confidentiality

☐ I agree to protect confidential and sensitive information entrusted to me.

☐ I will not disclose confidential information to unauthorized individuals.

☐ I understand that my confidentiality obligations continue after my employment ends.

Acceptable Use

☐ I agree to use [ORGANIZATION NAME]'s systems and resources only for authorized business purposes.

☐ I understand that my use of company systems may be monitored.

☐ I will not use company resources for illegal, unethical, or unauthorized purposes.

Incident Reporting

☐ I agree to report suspected security incidents immediately to [SECURITY TEAM/HELP DESK].

☐ I understand that timely reporting is critical to minimizing potential damage.

☐ I understand that I will not face retaliation for good-faith reporting of security concerns.

Ongoing Learning

☐ I understand that security awareness is an ongoing requirement.

☐ I agree to complete annual security awareness refresher training.

☐ I agree to participate in security exercises such as phishing simulations.


PART E: EMPLOYEE ACKNOWLEDGMENT

Acknowledgment Statement

I, the undersigned, hereby acknowledge that:

  1. I have completed the security awareness training identified above.

  2. I understand the security policies, procedures, and best practices covered in the training.

  3. I understand my responsibilities for protecting [ORGANIZATION NAME]'s information assets.

  4. I agree to comply with all security policies and report any security incidents or concerns.

  5. I understand that violation of security policies may result in disciplinary action.

  6. I have had the opportunity to ask questions and have received satisfactory answers.

Employee Signature

Printed Name: _______________________________

Signature: _______________________________

Date: _______________________________

Email: _______________________________


PART F: MANAGER ACKNOWLEDGMENT (if applicable)

Manager Verification

☐ I verify that the above-named employee has completed the required security awareness training.

☐ I will ensure this employee completes annual refresher training as required.

☐ I will address any security-related concerns or questions this employee may have.

Manager Signature

Printed Name: _______________________________

Title: _______________________________

Signature: _______________________________

Date: _______________________________


PART G: TRAINING ADMINISTRATION

Training Record

Field Information
Training Coordinator
Learning Management System ID
Certificate Number (if applicable)
Completion Verified By
Date Verified

Record Retention

This training acknowledgment will be retained in accordance with [ORGANIZATION NAME]'s record retention policy.

Retention Period: Duration of employment plus [3] years

Storage Location: [HR Records / LMS / Security Records]


APPENDIX A: KEY SECURITY CONTACTS

Report Security Incidents To:

Contact Information
Security Hotline [PHONE NUMBER]
Security Email [EMAIL ADDRESS]
Help Desk [PHONE NUMBER / EMAIL]
CISO Office [CONTACT INFO]

Additional Resources:

Resource Location
Security Policies [INTRANET URL]
Security Awareness Portal [URL]
Report Phishing [EMAIL/BUTTON]
Password Reset [URL/PROCEDURE]

APPENDIX B: QUICK REFERENCE SECURITY TIPS

Phishing Prevention

  • Verify sender email addresses carefully
  • Hover over links before clicking
  • Be suspicious of urgency or pressure
  • When in doubt, report and verify
  • Never provide credentials via email

Password Security

  • Use unique passwords for each account
  • Minimum 12 characters with complexity
  • Use a password manager
  • Never share passwords
  • Enable MFA wherever possible

Data Protection

  • Lock your computer when away (Win+L or Ctrl+Cmd+Q)
  • Don't leave sensitive documents unattended
  • Shred sensitive paper documents
  • Don't send sensitive data via unencrypted email
  • Know your data classification levels

Incident Reporting

When to report:
- Suspicious emails or messages
- Lost or stolen devices
- Unexpected system behavior
- Unauthorized access attempts
- Data exposure concerns

How to report:
- Call Security Hotline: [NUMBER]
- Email: [SECURITY EMAIL]
- Use the "Report Phishing" button
- Contact your manager


DOCUMENT CONTROL

Version Date Author Changes
1.0 [DATE] [NAME] Initial version

SUPPLEMENTAL FORMS

Annual Refresher Training Acknowledgment

For employees completing annual refresher training:

I, _________________________________, acknowledge that I have completed the annual security awareness refresher training on [DATE].

I reaffirm my commitment to complying with [ORGANIZATION NAME]'s security policies and protecting company information assets.

Signature: _______________________________
Date: _______________________________


New Hire Orientation Security Briefing

For new employees:

As part of my new hire orientation, I have received a security briefing covering:

☐ Security policy overview

☐ Account setup and password requirements

☐ Badge and physical access procedures

☐ Incident reporting procedures

☐ Key security contacts

I understand that I must complete the full security awareness training within [30] days of my start date.

Employee Signature: _______________________________
Date: _______________________________
HR Representative: _______________________________


Specialized Role Training Acknowledgment

For employees in security-sensitive roles:

In addition to general security awareness training, I have completed specialized training for my role:

☐ IT Administrator Security Training

☐ Developer Secure Coding Training

☐ HR Data Protection Training

☐ Finance/Accounting Security Training

☐ Executive Security Briefing

☐ Other: _______________________________

Training Date: _______________________________
Employee Signature: _______________________________
Date: _______________________________


This form is the property of [ORGANIZATION NAME]. Completed forms should be submitted to [HR/SECURITY/LMS] and retained according to the organization's record retention policy.

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EMPLOYEE SECURITY AWARENESS TRAINING ACKNOWLEDGMENT

GENERAL TEMPLATE


Effective Date: [DATE]
Party A: [PARTY A NAME]
Address: [PARTY A ADDRESS]
Party B: [PARTY B NAME]
Address: [PARTY B ADDRESS]
Governing Law: [GOVERNING STATE]

This document is entered into by and between [PARTY A NAME] and [PARTY B NAME], effective as of the date set forth above, subject to the terms and conditions outlined herein and the laws of [GOVERNING STATE].
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