Impact Team Training Meeting and Confidentiality Agreement

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United Way Impact Team 

Thank you for your willingness to participate on United Way of Northwest Alabama's Impact Team!
I'm thrilled to work with you over the next few months as we determine how United Way's unrestricted funding should be allocated. 
The deadline for agencies to submit their applications for funding is Friday, March 17 at 4:00 pm. Prior to that deadline, I would like to meet with as many impact team members as possible for a brief training and to get to know you.
Please choose a date and time that works best for you. If none of the options work for you, please let me know.
Your Name
Mailing Address
Please choose the meeting you will attend (the times will populate below the date you choose):
March 9 Options
March 10 Options
March 13 Options
March 14 Options
March 16 Options
I prefer to meet:

United Way of Northwest Alabama
Confidentiality Agreement

As a volunteer for United Way of Northwest Alabama (UWNWL), I understand and recognize that all information concerning UWNWAL's, or its partner agencies' clients is confidential. Unauthorized disclosure or use of any confidential information violates the concerned party's right to privacy and is therefore unacceptable.

I will respect as private and confidential all personal information and data of which I may become aware, and I agree to refrain from disclosing, either directly or indirectly, any confidential information. I further agree to take proactive measures (such as securing client files and not discussing personal information in public areas) to protect the confidentiality of the agencies and individuals that make up or are served through United Way of Northwest Alabama.

I further understand that revealing any information of a confidential nature to ANY outside party, including family members, can result in my immediate termination and/or remedy at law.

This agreement is binding both during and following my association with UWNWAL. This agreement is to be construed and enforced according to the laws of the State of Alabama. The maker hereby agrees that venue shall be in Colbert, Franklin, Lauderdale, and Marion Counties, Alabama.

Please select if you agree:
Name of Signer