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Confidentiality Statement and Hold Harmless Agreement (Adult) The undersigned hereby requests to participate in a job shadow at the University of Arkansas for Medical Sciences (DAMS) Campus. I agree

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Read and understand the content of the confidentiality statement and hold.

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Provide your personal information as requested in the form.

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Sign and date the statement in the designated areas.

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Review the completed form for accuracy before submitting.

Who needs confidentiality statement and hold?

01

Employees who have access to sensitive information.

02

Contractors or vendors who work with confidential data.

03

Volunteers who may come into contact with private information.

04

Any individual or organization involved in a business partnership requiring confidential information.

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What is confidentiality statement and hold?

Confidentiality statement and hold is a legal document that protects sensitive information from being shared or accessed by unauthorized individuals or entities.

Who is required to file confidentiality statement and hold?

All employees and contractors who have access to confidential information are required to file confidentiality statement and hold.

How to fill out confidentiality statement and hold?

To fill out confidentiality statement and hold, individuals must provide their contact information, details of the confidential information they have access to, and agree to abide by the terms of confidentiality.

What is the purpose of confidentiality statement and hold?

The purpose of confidentiality statement and hold is to ensure that sensitive information is protected and not disclosed to unauthorized parties.

What information must be reported on confidentiality statement and hold?

Confidentiality statement and hold must include details of the confidential information accessed, the individual's contact information, and agreement to maintain confidentiality.

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