Form F "Student Data Security Awareness Form" - Louisiana

What Is Form F?

This is a legal form that was released by the Louisiana Workforce Commission - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Louisiana Workforce Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F by clicking the link below or browse more documents and templates provided by the Louisiana Workforce Commission.

ADVERTISEMENT
ADVERTISEMENT

Download Form F "Student Data Security Awareness Form" - Louisiana

Download PDF

Fill PDF online

Rate (4.5 / 5) 6 votes
rd
1001 North 23
Street
225-342-7692
(O)
John Bel Edwards, Governor
Post Office Box 94094
225-342-7690
(F)
Ava Dejoie, Secretary
Baton Rouge, LA 70804-9094
www.laworks.net
Office of Workforce Development
Student Data Security Awareness Form
*For the use of Private Institutions Only
Please complete this form and upload into the Documents Section of the Provider Profile
Provider Name:
________________________________________________.
Vendor Code (New Providers Skip):
______________________________.
The Louisiana Workforce Commission (LWC) requires Providers, Schools, Institutions, Community
Organizations, Apprenticeship Providers or any other entity not mentioned (inclusively hereinafter referred to
as “Provider”), to submit sensitive data, including Social Security Numbers obtained from their programs
participants that must be protected. The Louisiana Workforce Commission access to this information is
based on a need to determine a Provider’s program performance for
application/reapplication to the state of Louisiana’s Eligible Training Provider List (ETPL), as required by
Policy 20 Addendum 1 of LWC’s Office of Workforce Development (OWD) and in accordance with the
requirements stipulated by section 122 of the Workforce Innovation and Opportunity Act.
The Louisiana Workforce Commission has implemented internal security protocols to ensure an adequate
level of protection is afforded to any student information received, stored, processed, and transmitted.
The LWC uses Provider student data only for the purposes that are defined by the Workforce Innovation and
Opportunity Act and the U.S. Department of Labor.
The Provider is to ensure that an adequate level of protection is afforded to any student information
obtained, stored, processed and transmitted to the Louisiana Workforce Commission. To assist the Provider
in protecting their students’ private information the following Security Guidelines have been created.
These Security Guidelines serve as an administrative safeguard in determining the proper protections
needed in maintaining and transmitting sensitive student information to the Louisiana Workforce
Commission.
Security Guidelines
As a Provider, you are responsible for the confidentiality and security of a student’s personal information and
are accountable for all activity relating to the use and transmission of this information and you should:
a) Implement written policies and procedures in relation to retention, maintenance, security, and
disposal of files (both paper and electronic) containing personal data;
b) Obtain and process personal data fairly;
c) Keep it only for one or more specified and explicit lawful purposes;
d) Process it only in ways compatible with the purposes for which it was given initially;
e) Keep personal data safe and secure;
f)
Keep data accurate, complete and up-to-date;
g) Ensure that it is adequate, relevant and not excessive;
h) Retain it no longer than is necessary for the specified purpose or purposes;
Form F: Student Data Security Awareness Form
Page 1 of 2
07/18
rd
1001 North 23
Street
225-342-7692
(O)
John Bel Edwards, Governor
Post Office Box 94094
225-342-7690
(F)
Ava Dejoie, Secretary
Baton Rouge, LA 70804-9094
www.laworks.net
Office of Workforce Development
Student Data Security Awareness Form
*For the use of Private Institutions Only
Please complete this form and upload into the Documents Section of the Provider Profile
Provider Name:
________________________________________________.
Vendor Code (New Providers Skip):
______________________________.
The Louisiana Workforce Commission (LWC) requires Providers, Schools, Institutions, Community
Organizations, Apprenticeship Providers or any other entity not mentioned (inclusively hereinafter referred to
as “Provider”), to submit sensitive data, including Social Security Numbers obtained from their programs
participants that must be protected. The Louisiana Workforce Commission access to this information is
based on a need to determine a Provider’s program performance for
application/reapplication to the state of Louisiana’s Eligible Training Provider List (ETPL), as required by
Policy 20 Addendum 1 of LWC’s Office of Workforce Development (OWD) and in accordance with the
requirements stipulated by section 122 of the Workforce Innovation and Opportunity Act.
The Louisiana Workforce Commission has implemented internal security protocols to ensure an adequate
level of protection is afforded to any student information received, stored, processed, and transmitted.
The LWC uses Provider student data only for the purposes that are defined by the Workforce Innovation and
Opportunity Act and the U.S. Department of Labor.
The Provider is to ensure that an adequate level of protection is afforded to any student information
obtained, stored, processed and transmitted to the Louisiana Workforce Commission. To assist the Provider
in protecting their students’ private information the following Security Guidelines have been created.
These Security Guidelines serve as an administrative safeguard in determining the proper protections
needed in maintaining and transmitting sensitive student information to the Louisiana Workforce
Commission.
Security Guidelines
As a Provider, you are responsible for the confidentiality and security of a student’s personal information and
are accountable for all activity relating to the use and transmission of this information and you should:
a) Implement written policies and procedures in relation to retention, maintenance, security, and
disposal of files (both paper and electronic) containing personal data;
b) Obtain and process personal data fairly;
c) Keep it only for one or more specified and explicit lawful purposes;
d) Process it only in ways compatible with the purposes for which it was given initially;
e) Keep personal data safe and secure;
f)
Keep data accurate, complete and up-to-date;
g) Ensure that it is adequate, relevant and not excessive;
h) Retain it no longer than is necessary for the specified purpose or purposes;
Form F: Student Data Security Awareness Form
Page 1 of 2
07/18
APPENDIX 1: ELIGIBLE TRAINING PROVIDER FORMS
i)
Not disclose (willfully or otherwise) student information in any way that would violate the privacy
of individuals other than that of which is required; and
j)
Transmit student information in a secure manner.
1. If transmitted by CD or email, the CD or email MUST be password protected for security
purposes.
2. The data and the password should be submitted separately.
For additional information, assistance, and/or guidance on the privacy and security of personal
information, please visit the Federal Trade Commission’s Bureau of Consumer Protection Business
Center website at:
http://business.ftc.gov/
I, as the Authorized Authority (such as the Chief Executive Officer, President, Owner, Director of
Admissions, etc.) on behalf of the above named Provider certify that: (1) I have read and
understood the security guidelines outline above; and (2) I understand and am fully aware that:
a) Unauthorized disclosure of student information can result in civil and criminal penalties.
b) Unencrypted or unprotected transmission of student information may result in
unauthorized persons access to student information that may lead to identity theft, fraud,
and/or or any other harmful actions whether known or unknown.
c) The LWC is not responsible, nor in any way shall be liable, for the manner in which it
receives data from the Providers.
Signature
Printed Name
Title
Date
Form F: Student Data Security Awareness Form
Page 2 of 2
07/18
Page of 2