Confidentiality Agreement form

Confidentiality Agreement

all staff, board & committee members to complete
Name*

TitleFirst NameMiddle NameLast Name
I agree to hold confidential all information that NIODA has placed restrictions on, and to release it to persons outside the organisation only when authorised by the organisation and subject to any conditions set by the organisation.
Specifically, I undertake to:*

Access information held by the organisation only when necessary to the performance of my assigned dutiesRefrain from discussing restricted information with any person outside the organisationMake copies of restricted information only when necessary to the performance of my assigned dutiesOversee the storage and handling of restricted information to minimise the risk of its diversion into unauthorised channelsTake reasonable care to properly secure confidential information on my computer and will take steps to ensure that others cannot view or access such informationNot disclose my personal password(s) to anyone without the express written permission of my department head, or record or post it in an accessible location, and will refrain from performing any tasks using another's passwordNotify the Administration Lead if I have reason to believe that my access codes and passwords have been compromised.
Signature*
Today's date:*

DayMonthYear
Date
Signed*

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