Confidentiality Contract

FORM 4

CONFIDENTIALITY CONTRACT

Cooperative Education Department

I, the undersigned, promise to hold in confidence all matters that come to my attention as a Cooperative Education student at my placement. This includes materials from and about clients, matters regarding colleagues and any other confidential information related to the organization.

I will respect the privacy of the people I serve and confer appropriately with my supervisor.

I will use in a responsible manner, any information gained in the course of my service as a Cooperative Education student at my placement.

I will use any technology or software from the placement, in an appropriate and confidential manner.

I will not copy or duplicate any placement technology or software for personal use.

I will not disclose, communicate, or convey directly or indirectly to any person, any private or confidential information whatsoever obtained by me during my Coop placement.

Student Name Student Signature Date

______

Name of Placement Placement Supervisor

Placement Supervisor Signature Date

(Employer Copy)