Tech Guides :: Information Security
Faculty Confidentiality Statement Form
Any faculty member who has access to personally identifiable or confidential data must have a signed faculty confidentiality statement form on file with the office of Human Resources & Risk Management. This includes having access to student records for students in the faculty member's class as well as having the capability of posting grades. Note, for purposes of this form, "faculty" includes tenure track, probationary, lecturers, counselors, coaches, emeriti, retired, graduate teaching assistants, and volunteers who teach classes. In order to submit the form, follow these steps:
- Read Information Use and Confidentiality Self-administered Training Materials. This document provides an outline of federal and state laws and policies that govern access to personally identifiable or confidential information. In signing the faculty confidentiality statement form, you will be certifying that you have received "training on the appended state and federal laws and University policies that govern access to and use of" such information. This document is required reading. It constitutes both the "appended state and federal laws and University policies" and the training program.
- Optionally do the FERPA Tutorial. This short, easy online tutorial provides a quick overview of your responsibilities under the federal Family Educational Rights and Privacy Act. Although this material is covered in the document above, the tutorial includes scenarios presented in a quiz format (non-graded, non-recorded) that can exercise or refresh you knowledge of complying with FERPA.
- Open the Faculty Confidentiality Statement Form, read the statement, and either: . Input your name and title, print the entire form, and sign and date it; OR
. Print the entire form, fill in (print) your name and title by hand, and sign and date it.
- Make a copy of page 2 (the signature page) of the form and keep it and page 1 as part of your records. Send the original (signed) copy of page 2 to your dean's office.
Your dean will sign page 2 and forward it to the Vice President for Administrative Affairs. The Vice President will sign page 2 and forward it to the Information Security Coordinator. The ISO will record in the University's security database that the form has been signed and send it to Human Resources & Risk Management for filing.
Upon filing of the form with HR&RM, you will be authorized for Banner Web access. Access to other University databases that contain personally identifiable or other confidential information requires approval from the data custodian of that information. The data custodians are defined in University Management Letter 09-2003 [03-03], HSU Student Records Access Policy.
If you have questions, please email them to security@humboldt.edu or call the Information Security Coordinator at (707) 826-6117.
