Attachment D - Student Privacy Pledge

Attachment D - Student Privacy Pledge.doc

Evaluation of the Safe Dates Project

Attachment D - Student Privacy Pledge

OMB: 0920-0783

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Attachment D.

Student Privacy Pledge





































Pledge of Privacy for Focus Group Discussion


I, ________________________, agree to not discuss personal information that other participants may share during the focus group discussion with anyone outside of the group. I also agree to not talk about who is in the group with anyone else.





Participant’s Signature Date


_____________


Project Staff Member’s Signature Date


























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File Typeapplication/msword
File TitleBilling Code: 4163-18-P
AuthorSonjuia L. Robinson
Last Modified ByThelma Elaine Sims
File Modified2010-09-23
File Created2010-09-23

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