I have read and understand the College Screening Committee Procedures Handbook. I understand that the college intends to abide by these provisions. In my capacity as a member of this Screening Committee, I am acting as an agent of South Puget Sound Community College and, therefore, I will comply with college rules, policies and procedures regarding confidentiality, equal employment opportunity and affirmative action practices. POSITION: DATE: COMMITTEE MEMBERS: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ South Puget Sound Community College 2011 Mottman Road SW, Olympia, WA 98512-6292 (360) 754-7711 www.spscc.ctc.edu rev. 040907