Scholarship Confidentiality Information held by Big Brothers Big Sisters of London and Area (BBBSOLA) will not be disclosed to any person without written approval of said person except in the following cases: This field is hidden when viewing the formInformation held by Big Brothers Big Sisters of London and Area (BBBSOLA) will not be disclosed to any person without written approval of said person except in the following cases:1. Where the safety of a child depends upon divulging this information. This could include suspicion of neglect or abuse of a child. The proper authorities will be informed when necessary, which could result in the disclosure of confidential information without written consent from the person. 2. When subpoenaed by the courts; 3. Where required by law1. Where the safety of a child depends upon divulging this information. This could include suspicion of neglect or abuse of a child. The proper authorities will be informed when necessary, which could result in the disclosure of confidential information without written consent from the person2. When subpoenaed by the courts;3. Where required by lawIn the event that confidential information is requested to support custody or access application, or for any court matter other than a “child protection” case, BBBSOLA will only release the information if required to do so by a Judge’s Order.This field is hidden when viewing the formIn the event that confidential information is requested to support custody or access application, or for any court matter other than a “child protection” case, BBBSOLA will only release the information if required to do so by a Judge’s OrderNo staff member or volunteer shall use confidential information from the agency to advance any personal interest, financial or otherwise.Second ChoiceThird ChoiceNo staff member or volunteer shall use confidential information from the agency to advance any personal interest, financial or otherwise.In accordance with Big Brothers Big Sisters of Canada’s National Standards: No information will be provided to persons or organizations outside of Big Brothers Big Sisters of Canada, and its agents, about parents, children or volunteers without their express prior written consent except where required by law. All information and records, including electronic records, shall be kept secure (for example, in a filing cabinet, desk, etc. under lock and key, password protected, etc.) and confidential at all times. This field is hidden when viewing the formIn accordance with Big Brothers Big Sisters of Canada’s National Standards:No information will be provided to persons or organizations outside of Big Brothers Big Sisters of Canada, and its agents, about parents, children or volunteers without their express prior written consent except where required by law. All information and records, including electronic records, shall be kept secure (for example, in a filing cabinet, desk, etc. under lock and key, password protected, etc.) and confidential at all times.I understand that BBBSOLA may need to exchange information with others so that the Agency can understand my needs and serve to meet those needs.I understand that BBBSOLA may need to exchange information with others so that the Agency can understand my needs and serve to meet those needs. Name First Last I also hereby consent to any exchange of information deemed appropriate regarding myself between Big Brothers Big Sisters of London and Area and the entities listed below. This field is hidden when viewing the formConsentI also hereby consent to any exchange of information deemed appropriate regarding myself between Big Brothers Big Sisters of London and Area and the entities listed below.1) School/Board, Facility, Agency or Individual Fred J. Watkins Scholarship Donor Advisors This field is hidden when viewing the form1) School/Board, Facility, Agency or IndividualFred J. Watkins Donor AdvisorsSecond ChoiceThird Choice2) School/Board, Facility, Agency or Individual TD Wealth Management TeamThis field is hidden when viewing the form2) School/Board, Facility, Agency or IndividualTD Wealth Management TeamSecond ChoiceThird Choice3) School/Board, Facility, Agency or IndividualPhoneEmail 4) School/Board, Facility, Agency or IndividualPhoneEmail 5) School/Board, Facility, Agency or IndividualPhoneEmailSignature of YouthDate MM slash DD slash YYYY SMS Verification By clicking Submit, I consent to the collection of this personal information in accordance with Big Brothers Big Sisters of London and Area's Privacy and Confidentiality Policy.This field is hidden when viewing the formNote:By clicking Submit, I consent to the collection of this personal information in accordance with Big Brothers Big Sisters of London and Area's Privacy and Confidentiality Policy.PhoneThis field is for validation purposes and should be left unchanged. Share: Facebook Google+ LinkedIn