M - Nondisclosure agreement

Atmt M Nondisclosure Agreement.doc

Prevention of Child Maltreatment through Policy Change

M - Nondisclosure agreement

OMB: 0920-1025

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Attachment M

Nondisclosure Agreement



Nondisclosure Agreement

Preventing Child Maltreatment Through Policy Change

Because of concerns about protecting participants’ privacy and fostering an atmosphere of respect for the participants, it is important for all persons who intend to act as site visitors for the Preventing Child Maltreatment Through Policy Change project to accept the following in respect of participants’ privacy:

  • Site visitors should not discuss the identity of participants or what was said by individual participants with others.

  • During data collection in the field, site visitors will maintain data collection materials (handwritten notes) in their possession or in secured storage at all times. The notes are to be shared ONLY with the other site visitor, the project director, and project manager.

  • Site visitors will ensure the computers used to enter and store site visit data are protected with current antivirus software.

  • Site visitors will report immediately to the ICF coordinator any loss of site visit documents or the corruption of computer files containing site visit data.

  • Site visitors will not include individual identifying information in the any reports or subsequent publications.

  • Site visitors are not to use the collected site visit data for any purpose other than the work associated with this research project.

Your signature below indicates that you understand and accept these conditions.

SITe visitor (print name)


site Visitor Signature


Date



WITNESS (print name)


WITNESS SIGNATURE


Date



Systematic Screening and Assessment of Workforce Innovations in the Provision of Preventive Oral Health Services

ICF International

File Typeapplication/msword
File TitleTABLE OF CONTENTS
File Modified2014-02-03
File Created2013-04-04

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