0 Appendix G

Early Head StartEvalauation Data Collection Instruments - III

Appendix G - Confidentiality Pledge

Early Head Start Research and Evaluation Project: 5th Grade Follow-Up

OMB: 0970-0143

Document [pdf]
Download: pdf | pdf
APPENDIX G
CONFIDENTIALITY STATEMENT

CONFIDENTIALITY PLEDGE
I understand that the names, and any other identifying facts or information, of individuals,
businesses, organizations, and families participating in projects conducted by Mathematica, Inc. or its
subsidiaries are confidential information. I agree that I will not reveal such confidential information,
regardless of how or where I acquired it, to any person unless such person has been authorized by the
cognizant Mathematica Project Director or the Mathematica Project Manager to have access to the
information.
I further understand that the unauthorized access to, use, or disclosure of any confidential
information is a breach of the terms of my employment, or my consultant agreement with Mathematica
and may subject me to court action by any interested party or to other sanctions by Mathematica. I
acknowledge that this agreement shall continue to bind me even after the project(s) is (are) completed
and/or even though my employment or my consultant agreement with Mathematica has terminated.
In addition, in the course of my employment I may have access to personal information, electronic
and otherwise, about fellow employees. I agree that I will treat that information as having the highest
confidentiality, and not communicate it to fellow employees or others outside Mathematica. Final
determination of whether or not there is a business purpose requiring that I access a fellow employees.
records will be made in consultation with the Director of Human Resources. Failure to uphold this
standard is a breach of trust and may subject me to disciplinary action, including termination of
employment.
Other than in the course of my authorized employment or my consultant agreement, I further agree
that I will not use, nor facilitate the use by any third party, in any way any information deemed
confidential by the terms of any contract or other written agreement between Mathematica and any other
organization, except by written authorization by both parties. It is my understanding that Mathematica
and the contracting organization(s) have the exclusive right to all information acquired or developed
under such a contract or other written agreement. I acknowledge that I acquire no right, title, or interest in
and to any data or information to which I have access by reason of my employment or my consultant
agreement and that I may not remove such data from my assigned work location without prior
authorization.
I agree to promptly notify the cognizant Mathematica Project Director or Project Manager, the
Survey Operations Center Manager or Supervisor for survey work, and the Mathematica Security Officer
of any unauthorized disclosure, use, or alteration of confidential information that I observe.
Nothing herein shall be construed to prevent divulgence of information to any court or governmental
agency, provided such divulgence is required by law. However, if I am subpoenaed, or if I have reason to
believe that I may be called upon to make such divulgence, I agree to notify the President of Mathematica
promptly in writing and, upon his request, to cooperate in all lawful efforts to resist such divulgence.

Signature:

Name:

Date:

I-1


File Typeapplication/pdf
File TitleAppendix G - Confidentiality Pledge.doc
AuthorAPitt
File Modified0000-00-00
File Created2006-08-30

© 2024 OMB.report | Privacy Policy