UMass Amherst


Security Monitor Schedule Preference Form

This form is due to your Coordinator by the second Friday of each month!

If You Do not Turn one in, You will be scheduled AS NEEDED

If You do NOT want to work during a month, Turn in a request indicating why.

Click Here To find out who your coordinator is



My Coordinator Is


Full Name


E-Mail Address


Local Address


Local Phone


Days of the Week that your Are Unable to Work Due to Classes


Dates you know your are unavailable


Days of the Week you'd prefer to Work


Number of Shifts DESIRED Per Week


Any Additional Information For your Coordinator




Webmaster: Jim Meade