--- description: >- Export this page as PDF, print it, sign it, and return it to the Executive Director. --- # Confidentiality Policy Acknowledgement By signing this document, you acknowledge that you have read and understand the MDC Confidentiality Policy, and will abide by it. \ \ Print Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Signature \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date \_\_\_\_\_\_\_ \