Sample Confidentiality Agreement?

CONFIDENTIALITY OATH

Section:         Administration                                                         File No.              3050-73

Draft:              [PC 2012.01.01/00]                                                Effective Date:  January 01, 2012                                                                                                                                

Coverage:     Staff                                                                           Review Date:    January 2014 AC

I, the undersigned, hereby agree not to divulge any information or records concerning any church and/or staff member without proper authorization in accordance with the Trinity Christian Reformed Church policies and procedures. I recognize that any discussion of. or release of, information concerning a church and/or staff member, to any unauthorized person is forbidden and may be grounds for legal and/or disciplinary action.

During the performance of my assigned duties, I will have access to confidential information required for the effective coordination and delivery of services. I agree that all discussions, deliberations, records, and information generated or maintained in connection with these activities will not be disclosed to any unauthorized person.

_____________________________________        _____________________________________

                                   Signature                                                      Name (Please Print)

Date: _______________________________

_____________________________________         _____________________________________

                     Clerk, Council, Trinity CRC                                        Name (Please Print)

Date: _______________________________

Reference: Trinity CRC – Protection of Personal Information Policies and Procedures