Confidentiality Agreement
Student Worker
I, _________________________________ understand that by virtue of my
employment with the University of South Carolina Spartanburg, I may have
access to records that contain individually identifiable information (ex. student
number, grades, personal data). Disclosure of this information, except under
specific conditions, is prohibited by the Family Education Rights and Privacy Act.
I fully understand that disclosure of this information to any unauthorized persons
(ex. other students, parents) could subject me to disciplinary action resulting in
termination from my job as well as penalties imposed by law.
My supervisor, ___________________________ has fully explained my
responsibilities pertaining to information and I agree to seek clarification if I have
any questions.
Signature of Student
Date
Signature of Supervisor
Date