Traveler Department Head/Supervisor: This will be who will approve any reports at the first level
Confidentiality Statement – Read Carefully and Sign
I agree to treat all information I am granted access to as confidential. I will use this information to fulfill
my job responsibilities only. I will not share access to, print, copy, or disclose confidential information
to the University’s employees, students, or anyone else with no business need for it. This includes
information concerning the University’s students, employees, vendors, consultants, contractors, and donors.
I will not share my username and password with anyone.
I will comply with all University Policies and Procedures, the Family Educational Rights and Privacy Act
(FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99), and all other regulations issued by the U.S. Department of
Education which defines the confidentiality of student records, I agree to comply with all other Federal,
State, and District laws,
I, (print name) ___________________________________ read this confidentiality statement. I understand
my obligation and liability as an authorized user of the University’s information systems. I understand that
failure to abide by these conditions may result in disciplinary action including termination of access,
employment, and/or prosecution.
________________________________________________________
Signature of User/Date
APPROVALS
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Department Head / Date
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Banner Support Services Date Completed
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Banner Support Services Executive Director