Data Privacy Agreement Form

A. Safeguarding Data

Agreement to Safeguard MAPE-Provided Data: If you are being provided private data (MAPE-provided data), the data may contain names, home addresses, email addresses, and phone numbers which are deemed private data by the Minnesota Association of Professional Employees (MAPE). The data may also contain information about disciplinary actions and investigatory information concerning disciplinary actions. The data MAPE is providing you may be about members or staff. Sometimes the data is about both; a MAPE member working for MAPE is both a member and staff.

MAPE-provided data comes from several different sources. Some is provided by the State of Minnesota and needs to be handled in accordance with the Minnesota Government Data Practices Act. Some is provided by the members. Some is gathered by MAPE as an employer. All data gathered by representatives of MAPE (Statewide, Regional, or Local Officers and representatives, and MAPE Staff) is MAPE-provided data.

To properly handle the MAPE-provided data, your signature below shows your agreement to:
    1. Not release MAPE-provided data to unauthorized people or entities.
    2. Keep MAPE-provided data private, except where release is required by law.
    3. Inform members and staff that any data you gather will be protected in accordance with the MAPE Data Privacy Policy.
    4. Provide adequate physical controls of MAPE-provided data and the media it is stored on.

I agree to the above requirements and understand the need to maintain security of MAPE-provided data.
Use your mouse or your finger if on a touch device to sign your name in the above box.

*No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. MAPE DOES NOT sell information.