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PALS Associates - Child & Vulnerable Adult Protection Policies AND Confidentiality Agreements

There are 6 questions in this survey.
AGREEMENT TO CHILD & VULNERABLE ADULT PROTECTION POLICIES

For all PALS Associates (including Guests/Visitors):

Please be sure to complete ALL sections in order to have the form fully completed, including attaching a copy of your passport (non-Vietnamese) or ID (Vietnamese). Other forms of IDs may be acceptable if you are not physically visiting our program sites.

A full copy of the CHILD & VULNERABLE ADULT PROTECTION POLICY AGREEMENT and CONFIDENTIALITY AGREEMENT can be found HERE. [Tiếng Việt: LINK]

(This question is mandatory)

I,  (full name in the text box below), have read and understood the procedures and guidelines outlined in Pacific Links Foundation’s Child & Vulnerable Adult Protection Policies. I agree with the principles contained therein and agree to implement and promote the procedures and practices contained within this document while working or associated with Pacific Links Foundation.

Please write your full name in the text box:

(This question is mandatory)

I understand that failure to comply could result in:

  • Employed Staff & interns – disciplinary action
  • Contractors – termination of contract
  • Board of Directors – termination of Board membership
  • Visitors/Guests & Volunteers– ending the relationship with Pacific Links Foundation
  • Partners - withdrawal of funding/support and ending of the relationship with the Foundation

I am aware that the Designated Child/Vulnerable Adult Protection Policy Officer is
                Ms. Loan H. LUONG           loan.luong@pacificlinks.org

And that the Designated Board Representative on Child/Vulnerable Adult Protection Policy is
                Ms. Anh K. TRAN                  tkanh@pacificlinks.org          

I hereby affix my signature below having read and agreed to the procedures and processes relating to the Child (pp. 2-5) and Vulnerable Adult (pp. 5-11) Protection Policies:

Signed on: 2022-06-25

CONFIDENTIALITY AGREEMENT
(This question is mandatory)

As an Associate (staff/ board member/ volunteer/ interns/ donors/ funder/other employee/ consultant/ contractor/ advisor/ visitors/ guest/ representatives of partner organizations), I, , hereby affix my signature having read and agreed to Pacific Links Foundation’s Confidentiality Agreement (pp. 12-13):

Signed on: 2022-06-25

 

SIGNER'S INFORMATION
(This question is mandatory)
Signer's information:

For visitors to our program sites: Please upload a copy of your passport and visa. If you do not yet have your visa, please email this copy once you receive it to visitors@pacificlinks.org.

For those working with us remotely: You may wish to upload a driver's license/student ID.

For Vietnamese nationals, please upload a copy of your national ID card.

Your information will be kept confidential and used only when there are violations related to procedures and guidelines outlined in Pacific Links Foundation’s Child & Vulnerable Adult Protection Policies and Confidentiality Agreements. This protects the safety and interests of all parties.

If you are planning to visit our program sites, please upload a copy of your Vietnamese visa (if already available). If not, please email this copy once you receive it to visitors@pacificlinks.org.