CONFIDENTIALITY AGREEMENT
As a volunteer of Kentucky State University (“KSU”), I understand that I may have access to or become aware of information that is confidential, proprietary, or otherwise protected by law. This includes, but is not limited to, information concerning students, faculty, staff, operations, research, and other institutional records.
I agree to the following terms:
1. Confidentiality Obligation
- oI will treat all information obtained through my volunteer role as confidential and will not disclose, discuss, or disseminate such information to any unauthorized individual, either inside or outside of KSU.
- oI will only share information when specifically directed to do so by an authorized University official, or as required by subpoena, court order, or applicable law.
- oI understand that student records are protected by the Family Educational Rights and Privacy Act (FERPA) and may not be disclosed without proper authorization. If I encounter protected health information in the course of my service, I will comply with the Health Insurance Portability and Accountability Act (HIPAA) and applicable privacy laws.
2. Use of Information
- oAny confidential information I access is to be used solely for the purpose of fulfilling my volunteer responsibilities at KSU.
- oI will not remove, copy, alter, or otherwise misuse any University records, data, or property.
3. Prohibited Conduct
- oI will not discuss or share confidential information with friends, family, or any individual not authorized by KSU.
- oI will not use confidential information for personal benefit or to the detriment of KSU, its students, or employees.
- oI will refrain from making disparaging or damaging statements about KSU, its employees, or its operations in relation to any confidential information I encounter.
4. Duration of Obligation
- oMy duty of confidentiality continues both during and after my volunteer service at KSU.
- oI understand that any breach of this agreement may result in immediate dismissal from the volunteer program and may subject me to further action, including but not limited to civil or legal remedies.
Certification of Confidentiality Agreement
I certify that I have read and understand the Kentucky State University Confidentiality Agreement. I agree to maintain the confidentiality of all information I may access in my role and understand that a breach of this agreement may result in dismissal or legal action.
Volunteer Name (Printed)___
Volunteer Signature: ___ Date: ___