Agreement to Comply Form – Agreement to Comply With Information Security Policies  

 

Policy Number:

OPER_0044

 

 

_______________ Employee Name (printed)   

________________

Department

I agree to take all reasonable precautions to assure that company internal information, or information that has been entrusted to Garden City Community College by third parties such as customers, will not be disclosed to unauthorized persons. At the end of my employment or contract with Garden City Community College, I agree to return all information to which I have had access as a result of my position. I understand that I am not authorized to use sensitive information for my own purposes, nor am I at liberty to provide this information to third parties without the express written consent of the internal manager who is the designated information owner.  

I have access to a copy of the Information Security Policies, I have read and understand these policies, and I understand how it impacts my job. As a condition of continued employment, I agree to abide by the policies and other requirements found in Garden City Community College security policy. I understand that non-compliance will be cause for disciplinary action up to and including dismissal, and perhaps criminal and/or civil penalties.  

I also agree to promptly report all violations or suspected violations of information security policies to the designated security officer.  

_______________

Employee Signature

 

Name of Service Provider	Contact Details	Services Provided	PCI DSS Compliant	PCI DSS Validation Date