Confidentiality Agreement For Shs
Confidentiality Agreement For Shs
Confidentiality Agreement For Shs
Document ID No.:
Department/Institution
engaged with:
Inclusive dates of training: From: To:
I understand that confidential information may include, but is not limited to, the following: trade
secrets, proprietary information, customer information, customer lists, methods, plans, documents,
data, drawings, manuals, notebooks, reports, models, inventions, formulas, processes, software,
information systems, contracts, negotiations, strategic planning, proposals, business alliances, and
training materials.
I understand that in the course of my Work Immersion experience I may have access to and be involved
in the processing of verbal, written, computer generated, computer accessed, filmed, and/or recorded
information related to clients, employees, and staff or the organization or business.
I understand that I am required to maintain confidentiality of this direct or indirect information at all
times, both during and after my SHSWI experience.
I agree that I will not at any time, both during and after my SHSWI experience, communicate or
disclose confidential information to any person, corporation, or entity.
I understand that any breach of confidentiality may result in disciplinary action, including termination
from the SHSWI Program, with failing evaluation, or legal action.
I certify by my signature that I acknowledge being informed of the confidentiality policy concerning
confidential information or its treatment.
I agree to adhere to and uphold the private and privileged information therein.
Noted by:
Note: The SHSWI trainee must sign this document in the presence of the SHSWIAdviser and Training
Supervisor.
A copy of this agreement must be filed in the trainee’s SHSWI Program folder in addition to
providing a copy to the APL Officer.