Download Human Resources Confidentiality Agreement Form Sample for Free

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Haywood County Schools Confidentiality Agreement
In performing my assigned duties and responsibilities with the Haywood County Schools,
I understand that maintaining confidentiality is critical to the mission of our school
system and for the compliance with federal and state laws and for maintaining the
public's trust. I further understand that my assigned duties and responsibilities may
involve the use of state data, school district data, and/or other information that is
confidential. Access to and knowledge of information that is deemed confidential
includes, but is not limited to, any information that personally identifies a particular
employee or individual, particular student or professional educator, or any information
that personally identifies individual account information with a financial institution with
whom a professional educator, employee, or other individual may transact business. Such
information is often referred to as Personally Identifiable Information.
Information that must remain confidential is to be protected in compliance with applicable
federal and state law, including FERPA (Family Education Rights and Privacy Act of
1974), Chapter 75 of the N.C. General Statutes and any applicable amendments to such
laws. By reading and signing this agreement, I understand that I am prohibited from
including or disclosing Personally Identifiable Information in any form of communication
with any unauthorized individual or entity, including any individual or entity not
employed by the Haywood County Schools, except as required in the performance of my
assigned position duties. Such communication includes, but is not limited to, e-mail,
instant messaging, faxes, or other written correspondence, and any type of verbal
communication.
I understand that violation of this agreement is employee misconduct and subjects me as a
Haywood County Schools employee to disciplinary action, up to and including dismissal,
without prior warning. Further, I understand that violation of this agreement could lead
to additional legal liability to me.
Note: this agreement is to be read and signed. A copy is retained in the employee's
Personnel file in the Human Resources Department.
Employee's Name (printed):________________________________ Date:_____________
Employee's Signature: ____________________________________________________
c: Employee's Personnel File
♦Employee information that is open to the public is employee name, age, date of original employment, current
position title, current salary (including pay, benefits, incentives, bonuses and deferred and any other form of
compensation paid by the department), date and amount of most recent salary change, date of most recent
promotion, demotion, transfer, suspension, separation or change in position reclassification, and location of
the employee's duty station.
Human Resources Confidentiality Agreement Form Sample
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