Appendix D: Volunteer Confidentiality Statement

volunteer appendix d - confidentiality_072006 (final).doc

Volunteer Service Application

Appendix D: Volunteer Confidentiality Statement

OMB: 3095-0060

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Appendix D


V OLUNTEER CONFIDENTIALITY STATEMENT


National Archives and Records Administration





The undersigned, ____________________________, is working as a volunteer for the National Archives and Records Administration. [Describe what the volunteer will be doing and what records will be involved.] This project will require the undersigned to view records that are currently restricted from public access. By law, Federal records may be disclosed only in accordance with the [insert appropriate law: e.g. Freedom of Information Act 5 U.S.C. § 552 et seq. and the Privacy Act 5 U.S.C. § 552a or the Presidential Records Act 44 U.S.C. § 2204 et al.] ___________________ agrees to maintain the confidentiality of any of the information to which s/he may have access during the course of his/her work, whether in electronic or hard-copy format, and to take all reasonable precautions to prevent unauthorized disclosures of these records. _____________________ understands that if s/he fails to uphold this confidentiality agreement s/he may be terminated and/or subject to further legal action.


__________________________________ _________________

Volunteer Signature Date


__________________________________

Printed Name



NA Form 6045B (x‑06)

File Typeapplication/msword
File TitleVOLUNTEER SERVICES APPLICATION FORM
Authornara
Last Modified ByTamee E. Fechhelm
File Modified2006-10-27
File Created2006-10-27

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