ESBD_371227_1724886546434_RIS_Confidentiality_Acknowledgement_Form_Draft.pdf

RESEARCH INFORMATION SYSTEMS

TEXAS A&M UNIVERSITY a part of the TEXAS A&M UNIVERSITY SYSTEM

CONFIDENTIALITY ACKNOWLEDGMENT

IMPORTANT INSTRUCTIONS TO THE EMPLOYEE FOR A SECURITY-SENSITIVE POSITION:

(1) Print or type all information. (2) Provide ALL information requested.

NAME ______________________________________________________________________________ First Middle Last

PRESENT ADDRESS _________________________________________________________________ Number & Street City State Zip

As a consultant to the Texas A&M University (TAMU), part of the Texas A&M University System (TAMUS), you were given information relating to the Policies and Regulations of TAMU and TAMUS upon initial engagement. This notice is to serve as an additional acknowledgment of specific language contained within the following sections of TAMUS Policy 07.01 relating to Ethics.

TAMU and TAMUS consultants shall protect and conserve public property and shall not use it for other than authorized activities.

TAMU and TAMUS consultants shall promptly disclose waste, fraud, abuse, and corruption in accordance with System Policy 10.02, Fraud, Waste and Abuse, section 2.

It is a violation of state law for TAMU/TAMUS consultants acting with the intent to obtain a benefit or with intent to harm or defraud another, to intentionally or knowingly misuse any thing of value belonging to the government that comes into their custody or possession by virtue of their office or employment.

It is a violation of state law if a TAMU/TAMUS consultant, in reliance on information to which he or she has access in his or her official capacity and which has not been made public, (1) acquires or aids another to acquire a pecuniary interest in any property, transaction, or enterprise that may be affected by the information; or (2) speculates or aids another to speculate on the basis of the information. It is also a violation of state law if a TAMU/TAMUS employee, with the intent to obtain a benefit or with intent to harm or defraud another, discloses or uses information for a nongovernmental purpose that he or she has access to by means of his or her employment and that has not been made public.

I have read, understand, and agree to abide by the attached Ethics Policy for TAMU/TAMUS employees. I understand that release of any information designated as confidential and/or sensitive by Research Information Systems (RIS) to anyone other than my direct supervisors and those designated by RIS Administration to work on the project will be considered a violation. I further understand that this requires that I safeguard data in my care and ensure that it is not accessible by anyone other than my direct supervisors.

Furthermore, I understand that, although it may not be classified as confidential or proprietary or result in any pecuniary gain, RIS may be sensitive to the release of certain project related information, therefore, in exchange for the opportunity to work on projects with Research Information Systems, I agree to keep the subject and outcome of such projects confidential, unless specifically approved by RIS Administration.

Nothing in this agreement precludes the external consultant from using or disclosing generalized know-how, ideas, concepts, processes, information, or techniques related to the confidential information retained solely in intangible form in the unaided memory of the recipient.

Signature of Employee Date

IMPORTANT INSTRUCTIONS TO THE CONSULTANT: (1) Print or type all information. (2) Provide ALL information requested.

NAME: ___________________________________________________________________________________________ First Middle Last

CURRENT ADDRESS: ______________________________________________________________________________ Number and Street Apt.

City Zip

JOB TITLE: _______________________________________________________________________________________