Template
Confidentiality Agreement
This agreement is between:
[lead researchers’ names and affiliations]
and
[transcriptionist/research staff name and affiliation]
for
[research project title and REB file #]
Summary of job description/service provision:
[describe work expectations here]
I agree to:
1. keep all the research information shared with me confidential. I will not discuss or share
the research information with anyone other than with the Researcher(s) or others
identified by the Researcher(s).
2. keep all research information secure while it is in my possession.
3. return all research information to the Researcher(s) when I have completed the research
tasks or upon request, whichever is earlier.
4. destroy all research information regarding this research project that is not returnable to
the Researcher(s) after consulting with the Researcher(s).
5. comply with the instructions of the Researcher(s) about requirements to physically
and/or electronically secure records (including password protection, file/folder
encryption, and/or use of secure electronic transfer of records through file sharing, use
of virtual private networks, etc.).
6. not allow any personally identifiable information to which I have access to be accessible
from outside Canada (unless specifically instructed otherwise in writing by the
Researcher(s)).
7. other (specify):
Transcriptionist/Research staff:
(Print Name) (Signature) (Date)
I agree to:
1. Provide detailed direction and instruction on my expectations for maintaining the
confidentiality of research information so that [transcriptionist/research staff] can comply with
the above terms.
2. Provide oversight and support to [transcriptionist/research staff] in ensuring confidentiality is
maintained in accordance with the Tri Council Policy Statement Ethical Conduct for Research
Involving Humans and consistent with the Dalhousie University Policy on the Ethical Conduct of
Research Involving Humans.
Researcher(s):
(Print Name) (Signature) (Date)
