Confidentiality & Non-Disclosure Agreement

Girl Scouts of Northern California council is responsible for protecting confidential information that it handles in the course of its business. This information includes but is not limited to data on members, donors, staff, and community partners, as well as proprietary information from vendors, contractors and others who provide products and services to our council.

As a registered volunteer member of the Girl Scouts of Northern California, I hereby agree

to use the information available to me only in the course of my responsibilities as a registered volunteer member, and
not to disclose any information pertaining to members, membership, donors, staff, vendors or any products (including software products), or any intellectual property provided to me or used in the course of my business for Girl Scouts of Northern California with anyone outside of the council, both during my time as a registered volunteer member and at any time after my association with Girl Scouts of Northern California.

I also understand that disclosure includes the auditory/verbal exchange of information, as well as making copies of paper files and/or electronic files, or allowing third parties to have access to original documents, passwords or other access to information belonging to members, donors, staff, community partners, and vendors associated with Girl Scouts of Northern California.

I understand that failure to comply with this agreement may jeopardize my continued association as a volunteer with Girl Scouts of Northern California and in addition may make me subject to other liability.

Please complete the below information and sign the form acknowledging that you agree to the conditions above as the person responsible for receiving and using the membership data electronically provided by GSUSA.

Signer's Information

Service Unit Name/Number: *

Service Unit Team Position *

First Name: *

Last Name: *

Date of Birth * +

Day Phone Number: *

Cell Phone Number: *

Email Address: *

Electronic Signature

By signing this form, you acknowledge that you agree to the conditions above as the person responsible for receiving and using the membership data electronically provided by GSUSA.

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.

Please type your full name here: *

Date * +

Published August 7, 2019

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.