Adult Confidentiality
Agreement
By signing this form,
I agree to the following confidentiality guidelines:
I will not discuss or
reveal any specific information about the cases that I will hear or work on
when I am participating in the
I will not reveal any
offender’s name or any information about his/her case outside the courtroom,
unless I am discussing the case with one of the other
I understand that if
I speak with other
I agree to encourage
the student volunteers to behave in an appropriate manner that reflects the
philosophy of the program and to help them understand and maintain the rules of
confidentiality.
I understand that I
am expected to set a positive example for the
I understand that if
I fail to uphold the confidentiality agreement, I will be asked not to
volunteer or attend future hearing sessions.
Printed Name: __ Date: ____
Signature: _ ____