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ITEC

Instructional Technology

Confidentiality Statement

Kennesaw State University
Bagwell College of Education

Center for Education Placements and Partnerships
ONLINE CONFIDENTIALITY STATEMENT

Please fill out this confidentiality form as a reminder not to disclose any CONFIDENTIAL student data while you are completing your online practicum experience.

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I understand that any unauthorized disclosure of confidential student information potentially violates the Family Educational Rights and Privacy Act of 1974 (FERPA). In addition, I understand that any data, datasets or outputs that I, or any authorized representative, may generate from data gathered through class assignments and/or data projects may be confidential and such data is to be protected.

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I will not distribute to any unauthorized person any data or reports that I have access to or may generate using non-public data. I also understand that the students, schools, nor district should be identified in any published report. Data with names or other personal identifiers (such as student numbers) will be properly disposed of when their use is complete.

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I agree to abide by the Georgia Professional Standards Commission standards of professional conduct while working in the schools. I understand that failure to do so could result in my being denied access to students or information needed to complete my projects or class assignments.

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I understand that any unauthorized disclosure of confidential instructional content as proprietary information potentially violates copyright laws. I understand that Kennesaw State University discourages any out-of-class disclosure of partner instructional content.

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Entering my first name, middle initial, and last name in the box above indicates my electronic signature on this form.

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