WAIVER OF CONFIDENTIALITY AGREEMENT
E.A.P. Grief Group
I, the undersigned member, acknowledge that I have received and understand this Waiver of Confidentiality Agreement regarding my participation in the TWU Local 575 E.A.P. Grief Group. I understand that this group is designed to provide support and assistance in a confidential setting.
By signing this waiver, I agree to the following terms:
Confidentiality: I acknowledge that all discussions, personal experiences, and information shared within the group are strictly confidential. I will not disclose or discuss any details outside of this group setting, including but not limited to conversations, personal stories, names, or any identifying information.
Privacy Protection: I will uphold and respect the privacy of all participants. I will not record, take notes, or share any details about the discussions in any written, verbal, or electronic form.
Non-Retaliation: I understand that any retaliation, discrimination, or use of shared information against any participant is strictly prohibited and may result in disciplinary action as outlined by TWU Local 575 policies.
Voluntary Participation: I acknowledge that my participation in this group is voluntary and that I may withdraw at any time without penalty. However, any information shared during my participation remains confidential even after my withdrawal.
Facilitator's Role: I understand that the group facilitator(s) are bound by confidentiality but may be required to report certain information if it involves harm to oneself or others, as mandated by law.
No Legal or Employment Implications: I acknowledge that participation in this group is not a condition of employment, nor does it serve as a substitute for legal or professional counseling services.
By signing below, I confirm that I have read, understand, and agree to abide by the confidentiality terms outlined above.