By submitting this form, you are verifying that you fully understand the policy and agreement outlined below.
Note that fields in bold are required.
I have been informed that any information I have access to when doing my job must be kept confidential. I recognize that not sharing private/confidential information is a serious responsibility in the performance of my duties. I understand that questions regarding the Confidentiality Policy should be directed to my supervisor. I also understand that by virtue of my employment with University of Northwestern – St. Paul, I may have access to records which contain Personally Identifiable Information, the disclosure of which is prohibited by the Family Educational Rights and Privacy Act of 1974 (FERPA). I fully understand that I am not authorized to access records where I do not have a legitimate educational interest (need-to-know) in order for me to fulfill my professional responsibilities or duties as a school official. I also fully understand that the intentional disclosure of this information by me to any unauthorized person makes me subject to possible criminal and civil penalties imposed by law. I also acknowledge that such willful or unauthorized access or disclosure also violates the University of Northwestern – St. Paul's confidentiality policy and constitutes just cause for possible disciplinary action up to and including termination of employment and/or enrollment regardless of whether criminal or civil penalties are imposed.