70 Sip Avenue, 2
nd
Floor, Jersey City, NJ 07306
FINANCIAL AID OFFICE
FEDERAL WORK-STUDY PROGRAM
AGREEMENT BY PART-TIME EMPLOYEE TO MAINTAIN CONFIDENTIALITY AND PRIVACY
PERTAINING TO STUDENTS, FACULTY, STAFF AND THE COLLEGE
I, ________________________ (print name) ______________________, understand that in my
Student’s Name Student ID
capacity as student employee at Hudson County Community College, whether as a full time, part
time, work-study students, I may have access to confidential and private records of other
students, faculty, staff, and /or pertaining to the College.
I understand that under Federal Laws, student’s records are protected from disclosure to third
parties. I will not exchange information that I have learned while performing my job in the
______________________ Department at Hudson County Community College. Even minor
disclosure of information (telling another student of someone’s class schedule) may be a
violation and may result in disciplinary actions.
I agree to maintain confidentiality of all such records during and after my period(s) of
employment at Hudson County Community College. I shall not directly or indirectly,
communicate to any person other than the supervisor or individual approved by the supervisors,
any information concerning such records. I understand that any such of disclosure may be
grounds for termination or prohibition of future employment.
__________________________ ____________________
Student Signature Date
___________________________ ____________________
FAA Signature Date
