I understand that in the performance of my duties as an AmeriCorps member with my site, that for the protection of all, I agree to hold confidential any and all information related to youth I may be working with, with the exception of any admission of abuse. Other than informing my program director as necessary, I also agree to hold confidential any and all information related to community members, staff, directors, board members, host agencies, and community-based organizations in general that I might be privilege to in my role as an AmeriCorps member.
I have read and understand this agreement: Name____________________
Signature ______________________________________________________
Date __________________________________________________