Anti-Doping Organization / Doping Control Officer Agreement

This agreement is entered into between the Anti-Doping Organization (ADO) (USA Powerlifting) and you, a volunteer serving the ADO at its discretion as an ADO Doping Control Officer (DCO).

Name*

First NameLast Name

Email*

Confirmation Emailexample@example.com

Select a status*

USA Powerlifting MemberDCO Chaperone

USA Powerlifting Member ID

Select your state

Leave blank if outside the US and go to Select Your Country

Select Your Country

1. Relationship*

I understand that I am not an employee of the ADO. My relationship with the ADO is as a volunteer. I agree not to represent myself as a DCO or purport to represent the ADO unless authorized to do so by the ADO. I understand that I will not receive any other benefits outside of the compensation and reimbursement for expenses specified for my services.

2. Term*

I understand that the use of my services as a DCO is at the sole discretion of the ADO. I acknowledge that my accreditation as a DCO for the ADO is issued at the sole discretion of the ADO and may be revoked at any time for cause or no cause by the ADO. I will return my DCO credentials and any other ADO property (sample collection equipment, manual, etc.) to the ADO immediately upon request by the ADO.

3. Confidentiality*

I understand as an ADO DCO that the ADO will disclose to me sensitive and confidential information necessary for the performance of my duties. I agree to keep any such information strictly confidential and will only disclose such information at the request of or with permission from the ADO, or when legally compelled to do so. This confidential information may include but is not limited to: Athlete names, Athlete residence and training addresses,Athlete telephone numbers, Athlete testing information and Athlete test result information.

4. Conflict of Interest*

I understand that while representing the ADO, I assume an obligation to subordinate my individual interests to the interests of the ADO and its mission.I pledge my full support of the spirit and letter of the requirements as applicable to my duties as a DCO. I agree to serve the ADO without an interest in personal gain, to avoid any institutional loss or embarrassment to the ADO and to behave in such a way that the ADO’s trust and public confidence are enhanced. I will avoid any real or apparent conflict of interest in my role as a DCO for the ADO.

5. Duties*

I AGREE to use my best efforts in all duties directly or indirectly relating to my role as an ADO DCO. I agree to use my best efforts in complying with the ADO’s protocol and procedures. I agree to ensure that the ownership, security and chain of custody of samples are maintained at all times.I AGREE to provide no advance notice to the athlete(s) for out of competition testing.I AGREE to maintain the highest standard of professional and personal conduct in all activities associated with the ADO.I AGREE to refrain from discussing issues outside of my role as a DCO, such as medical advice, ADO policies, or confidential information regarding Athletes tested, with Athletes or their support personnel.I AGREE to maintain a professional appearance and demeanor while conducting the ADO activities or while representing the ADO.

6. Miscellaneous

This Agreement is intended solely for the benefit of the ADO and DCO. No other party shall be entitled to claim in any way that it is a third party beneficiary of this Agreement.

Please sign your name and date this document in the spaces provided indicating that you have read and agree to the ADO Doping Control Officer Agreement. The original will be kept in the USA Powerlifting National Office. A signed copy of this document will be emailed to you.

Signature*

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