Project staff confidentiality agreement

Appendix E

National Evaluation of the Comprehensive Centers

Project Staff Confidentiality Agreement

As a member of the project team conducting the National Evaluation of the Comprehensive Centers, I agree to adhere to strict standards of confidentiality in the collection, storage, analysis, and reporting of all data collected for the evaluation. In addition, I agree that:

• I will not reveal the name, address or other identifying information of any respondent to any person other than those directly connected to the study.

• I will not reveal the contents or substance of the responses of any identifiable respondent or informant to any person other than a member of the project staff, except for a purpose authorized by the project director or authorized designate.

• I will not contact any respondent or informant except as authorized by a member of the project staff.

• I will not release a dataset or findings from this project (including for unrestricted public use or for other, unrestricted, uses) except in accordance with policies and procedures established by the project director or authorized designate.

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Signature

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Print Name

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Organization

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Date