Program Confidentiality Agreement

Please enable JavaScript in your browser to complete this form.

I agree to keep confidential information that is shared by other participants in my program at the Learning Exchange. This includes their names, personal stories, experiences, or any other personal information which may be learned. This also includes their addresses, phone numbers, family member names, or that they are participating in this program.

I also agree to keep in confidence the names of people that I may recognize in the building where the program is held who are accessing other services.

Clear Signature