Home > Business > Agreement Template > Confidentiality Agreement Sample > Confidentiality Agreement Sample 3

Confidentiality Agreement Sample 3


Confidentiality Agreement Sample 3
Confidentiality Agreement Sample 3
[Insert Name of Organization
Address
Phone/Fax #s
General Information Email Address
Web Address]
Sample Confidentiality Agreement
[Insert Name of Organization]
PLEDGE OF CONFIDENTIALITY
This is to certify that I, ______________________________, an employee, student, volunteer or Board member
of [Organization], understand that any information (written, verbal or other form) obtained during the
performance of my duties must remain confidential. This includes all information about members, clients,
families, employees and other associate organizations, as well as any other information otherwise marked or
known to be confidential.
I understand that any unauthorized release or carelessness in the handling of this confidential information is
considered a breach of the duty to maintain confidentiality.
I further understand that any breach of the duty to maintain confidentiality could be grounds for immediate
dismissal and/or possible liability in any legal action arising from such breach.
_______________________________________________
Signature of Employee/Student/Volunteer
_______________________________________________
Date
_______________________________________________
Signature of Staff Witness
Confidentiality Agreement Sample 3