West Virginia Certification Board for Addiction & Prevention Professionals (WVCBAPP) Committee Volunteer Confidentiality and Non-Disclosure Agreement
Purpose
The WVCBAPP utilizes volunteers to assist with certification, credentialing, application review, and other authorized organizational activities.
In performing these duties, volunteers may have access to confidential, sensitive, or personally identifiable information. This agreement establishes the confidentiality and information security obligations of individuals serving in a volunteer capacity who are not members of the WVCBAPP Board of Directors.
1. Confidential Information
Confidential information includes, but is not limited to:
- Certification and credentialing applications and supporting documentation.
- Government-issued identification, including driver’s licenses.
- Social Security numbers, dates of birth, addresses, and other personally identifiable information.
- Educational transcripts, employment verification, and supervision records.
- Examination eligibility, results, and related records.
- Ethics complaints, investigations, disciplinary matters, and related correspondence.
- Internal board communications, committee discussions, and applicant evaluations.
- Any other information designated confidential or reasonably understood to be private.
2. Confidentiality Obligations
As a WVCBAPP committee volunteer, I agree to:
- Access confidential information only when necessary to perform my specifically assigned duties.
- Maintain strict confidentiality regarding all applicant, credential holder, and organizational information.
- Refrain from discussing, disclosing, or sharing confidential information with unauthorized individuals, including other volunteers, colleagues, family members, or outside organizations.
- Not download, photograph, screenshot, print, copy, forward, or retain confidential records unless expressly authorized by WVCBAPP.
- Use only board-approved methods and systems to access, review, transmit, or store confidential information.
- Protect any authorized access credentials and never share usernames, passwords, or access links.
- Immediately notify the designated WVCBAPP representative of any suspected or actual unauthorized access, disclosure, loss, or security incident.
- Disclose any actual or potential conflict of interest involving an applicant or credential holder and refrain from reviewing the affected matter until authorized.
- Return or securely destroy any board information in my possession as directed upon completion or termination of my volunteer service.
3. Limitations of Volunteer Authority
I understand that my volunteer role does not confer membership on the WVCBAPP Board of Directors or grant independent authority to approve, deny, suspend, or otherwise make final credentialing or disciplinary decisions.
All volunteer activities must remain within the scope specifically authorized by WVCBAPP.
4. Continuing Confidentiality
I understand that my responsibility to protect confidential information continues after my committee assignment or volunteer service ends.
5. Violations
I understand that failure to comply with this agreement may result in immediate removal from volunteer duties, termination of access to WVCBAPP information and systems, and other appropriate action, including legal action or reporting when warranted.
By signing below, I acknowledge that:
- I have read and understand this Confidentiality and Non-Disclosure Agreement.
- I understand that I may encounter sensitive personal and professional information.
- I agree to safeguard such information and comply with WVCBAPP policies and procedures.
- I understand that confidentiality is a condition of my volunteer participation.