VPK CONFIDENTIALITY AGREEMENT This is to certify that I, ________________________________________________________________, an employee, volunteer or Board member of ________________________________________________________________________________, agrees to protect the confidentiality of child and family information. Information associated with the Voluntary Pre-Kindergarten Program shall only be made available in accordance with the restrictions of s. 1002.72, F.S. Accordingly, to the extent that PROVIDER receives VPK records in order to carry out its official functions, PROVIDER must maintain and protect the data as required in s.1002.72, F. S. Individuals and organizations eligible to receive records include PROVIDER, the parent, COALITION, Office of Early Learning and other entities identified in s.1002.72, F.S. Signature Date
VPK CONFIDENTIALITY AGREEMENT This is to certify that I, ________________________________________________________________, an employee, volunteer or Board member of ________________________________________________________________________________, agrees to protect the confidentiality of child and family information. Information associated with the Voluntary Pre-Kindergarten Program shall only be made available in accordance with the restrictions of s. 1002.72, F.S. Accordingly, to the extent that PROVIDER receives VPK records in order to carry out its official functions, PROVIDER must maintain and protect the data as required in s.1002.72, F. S. Individuals and organizations eligible to receive records include PROVIDER, the parent, COALITION, Office of Early Learning and other entities identified in s.1002.72, F.S. Signature Date
VPK_CONFIDENTIALITY_AGREEMENT.docx