Board Member Confidentiality Acknowledgement Form
Please complete this form to acknowledge your confidentiality obligations as a board member.
Full Name
*
First Name
Last Name
Board Position/Role
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Confidentiality Acknowledgement
*
I acknowledge that as a board member, I am required to keep all board discussions, documents, and information confidential, and I will not disclose any confidential information obtained through my board service to unauthorized individuals.
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit
Submit
Should be Empty: