Volunteer Confidentiality Agreement. As a volunteer with Easter Seals Florida, Inc. you may have access to information of a highly sensitive and confidential nature. This information may be contained in conversation, company records, correspondence and other similar documents. As a volunteer of Easter Seals Florida, you are in a position of trust and you have an obligation to this organization, our clients, and our contributors, to see that the confidentiality of this information is strictly maintained and protected. Unauthorized use or disclosure, even if inadvertent, compromises both you and Easter Seals and seriously erodes confidence. Information regarding Easter Seals, our clients, or contributors is considered confidential and proprietary. Unless you have received written approval from the President of Easter Seals Florida, you may not disclose, duplicate or use this information except as required in the performance of your volunteer duties with Easter Seals Florida. I acknowledge that I have read the information above regarding confidentiality and understand that any unauthorized release or carelessness in the handling of this confidential information is considered a breach of confidentiality. I further understand that any breach of confidentiality could be grounds for immediate dismissal. Signature of Volunteer Date Signature of Staff Witness Date Corporate Compliance Code of Conduct Below you will find a copy of Easter Seals Florida, Inc. Corporate Compliance Code of Conduct. Each volunteer is required to read and sign the Code of Conduct Agreement, which certifies that you understand and agree to adhere to the outlined standards of conduct.
Volunteer Confidentiality Agreement. I understand that ALL student and staff information is confidential. I agree not to access, review, disclose, or use confidential student or staff information without specific authorization from a school administrator. I also understand that even when I am no longer a volunteer in the schools, any confidential information I have learned must continue to be kept confidential. I understand that any breach of these confidentiality requirements will result in my immediate termination as a volunteer and may result in legal action against me. I understand that I must comply with all Board policies and school rules applicable to school staff, as well as all directions from school administrators and staff while serving as a volunteer. I further understand that my authorization to serve as a volunteer may be terminated at the discretion of the Superintendent and school principal at any time if they determine it is in the best interests of the Five Town CSD/ Camden Rockport School District. Signature of Volunteer Printed Name Date BUILDING ADMIN USE ONLY: Building Administrator: Please select one with your initials. This Volunteer will be alone with students. Fingerprint approval IS required. This Volunteer will not be alone with students. Fingerprint approval IS NOT required. CO OFFICE USE ONLY: Central Office Administrator: Application Approved Application Denied CO Administrator or Authorized Official: Date: History: Adopted: 9/30/16
Volunteer Confidentiality Agreement. 🞎 I understand that during my volunteer time with Anglophone East School District, I may become aware of confidential information regarding students, parents, staff, or volunteers. I agree that I will respect the privacy of these individuals and maintain personal information as confidential unless otherwise authorized by a school administrator. 🞎 I understand that even when I am no longer a volunteer with Anglophone East School District, any confidential information I have learned must continue to be kept confidential. 🞎 I understand that any breach of these confidentiality requirements will result in my immediate termination as a volunteer and may result in legal action.
Volunteer Confidentiality Agreement. I agree not to divulge any information or client records regarding persons who are receiving services or other assistance from the Organization or who are otherwise involved in my volunteer services. I recognize that unauthorized release of confidential information may make me a subject to a criminal action.
Volunteer Confidentiality Agreement. I, the undersigned, do hereby acknowledge that in my volunteer role for the National Guard unit’s Family Readiness Group, I may have access to confidential and private information from the National Guard unit and families. I agree that I shall not disclose any such confidential or private information maintained by the National Guard or obtained by me to any unauthorized person, and I will honor confidentiality and privacy of soldiers and families.
Volunteer Confidentiality Agreement. By checking the box I confirm that I have read and understand the Volunteer Confidentiality Agreement. I understand that Xxxxxx County, including its employees, volunteers, assignees, and affiliates, has a legal and ethical responsibility to maintain the privacy and confidentiality of individual information. Any individual information and/or records that I access or view at Xxxxxx County do not belong to me. HIPAA Confidentiality Agreement: By checking the box I confirm that I have read and understand the HIPAA Confidentiality Agreement. Due to the nature of services that the Medical Reserve Corps provides, I may process information that is confidential and not public record, and I may acquire knowledge of confidential information from files, case records, missions, and conversations. I understand that such information is not to be discussed or revealed to anyone not authorized to have the information. I will keep information confidential and not discuss it with anyone other than the staff person or supervisor with whom I am working. Volunteer Code of Conduct: By checking the box I confirm that I have read and understand the Volunteer Code of Conduct Agreement. I understand that Xxxxxx County, including its employees, volunteers, assignees, and affiliates, has a legal and ethical responsibility to maintain a positive image as a Volunteer. I understand that anytime that I am wearing the MRC uniform I am directly representing the Xxxxxx County Public Health.
Volunteer Confidentiality Agreement. While performing volunteer services for the Timberlane Regional School District, I understand that I am bound by laws and policies which protect the privacy of student information I am given access to. I agree to keep this information in the strictest confidence and recognize that the failure to do so may result in my being denied the opportunity to volunteer. Volunteer’s Name (please print) Signature of Volunteer Date
Volunteer Confidentiality Agreement. I understand that as a volunteer, I may have access to confidential information about the participants that utilize St. Xxxxxxx xx Xxxx. I understand that any information that I learn about a participant is confidential and that information about a participant cannot be disclosed to anyone. I understand the law provides for the possible civil and criminal penalties for disclosure of confidential participant information. This includes information I receive whether obtained either verbally or written by Xx. Xxxxxxx xx Paul. • Direct contact with participants and families • St. Xxxxxxx xx Xxxx Any of this information is to be held in strict confidence in order to protect the rights of all participants and families. I recognize that the disclosure of such information by me may cause irreparable harm to the client/family and St. Xxxxxxx xx Xxxx and that accordingly, the client/family may seek any legal remedies against me which may be available. I agree that I will not: • Reveal to anyone the name or identity of a participant. • Repeat to anyone any statements or communications made by or about the participant. • Reveal to anyone any information that I learn about the participant as a result of discussions with others providing support to the participant. • Write or publish any articles, papers, stories, or other written materials which will contain the names of any participant or information from which the names or identities of any participant can be discerned. • If a paper is written about my volunteer work here, I agree that I will submit it to St. Xxxxxxx xx Xxxx for approval. I hereby agree by signing below that I have read this document, fully understand its meaning and promise to adhere to the confidentiality agreement described above. Date: Printed Name of Volunteer: Address: Phone Number: Signature:
Volunteer Confidentiality Agreement. 5 I understand that education records are official and confidential documents protected by one of the nation's strongest privacy protection laws, the Family Educational Rights and Privacy Act. 6 The relationship between the volunteer and the students should be one of respect, kindness, and cooperation.
Volunteer Confidentiality Agreement. While performing volunteer services for the School District, I understand that I am bound by laws and policies which protect the privacy of student information I am given access to. I agree to keep this information in the strictest confidence and recognize that the failure to do so may result in my being denied the opportunity to volunteer. Signature of Volunteer Date Signature of District designee Date (Principal, Superintendent, etc.) Appendix revised: April 2011
