Accreditation Commission Non-Disclosure Agreement for Information from Student Records and Program Portfolios
I understand that as a member of the ACPE Accreditation process, I may have access to information from confidential student records and program portfolios. I will not retain copies of those records or information, nor will I disclose or use any information I might obtain from them in any process other than the one in which I am currently authorized to participate.
Name
*
First Name
Last Name
Name of Program you are visiting/reviewing or Commission meeting you are attending
*
Date(s) of Site Visit/Review/Meeting
*
Date Signed
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Should be Empty: