Volunteer Confidentiality Agreement

Download a blank fillable Volunteer Confidentiality Agreement in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Volunteer Confidentiality Agreement with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

VOLUNTEER CONFIDENTIALITY AGREEMENT
ELEMENTARY EDUCATION
ALTOONA AREA SCHOOL DISTRICT
There are federal and state laws that protect the privacy rights of students and families.
In a school situation, there are many instances in which confidential information is
discussed in order to better understand students and how we can help them. When
working in the schools as a volunteer there may be times when this information is
overheard. Our staff will make every effort to prevent this from happening; however, as a
volunteer you must agree that if you do hear information, about a student or family you
will not repeat this outside of the school. This will ensure the protection of our students’
interest and their families, thus creating a better environment for all.
Additionally, three laws govern special education confidentiality.
FERPA (Family
Educational Rights and Privacy Act), IDEIA (Individuals with Disabilities Education
Improvement Act), and Chapter 14 (Pennsylvania Special Education Guidelines). All
three bodies of regulations indicate that confidentiality must be maintained relative to
special education students. Therefore, any written or verbal communication with anyone
who does not have a right to know is in violation of these laws. A volunteer should not
discuss a child’s disability with any individual outside of the classroom instructor, building
principal, or staff member.
The volunteer should not carry any written or verbal
statements outside of the school that would divulge the child’s disability. In essence, only
those who work directly with the student are considered as those with a “need to know.”
If at any time these terms of confidentiality are violated by a volunteer, termination of
volunteer services may occur.
As a volunteer:
o I realize that I am subject to a code of ethics similar to that which
binds the professionals in the field in which I work.
o I will keep confidential matters private.
o I also understand that volunteering in the AASD elementary program
is a privilege and not a right. The school’s principal reserves the right
to deny or remove any volunteer violating confidentiality or any
district policy.
By signing this agreement I am stating that I will not divulge information about any
student or family to any person outside the school setting.
Volunteer Signature
Date
Student Name:
Teacher:
Student Name:
Teacher:
Student Name:
Teacher:
Form No.: ELE-F008 (05/07) Page 1 of 1

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go