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ADRF Privacy Statement

ADRF Privacy Statement

The ADEA Diabetes Research Foundation Council is committed to privacy, confidentiality and data integrity.

This form is to be completed by members of the ADEA Diabetes Research Foundation Council, the ADEA Diabetes Research Foundation Review Panel and the ADEA Diabetes Research Foundation Executive Group who participate in the work of the ADEA Diabetes Research Foundation.  
 
Please ensure you read the following documents: 

A copy of the completed form will be made available to the Chair of the ADEA Diabetes Research Foundation Council and Executive Group.


1.Enter your full name(Required.)
2.Please provide your phone number(Required.)
3.Please enter your email address(Required.)
4.I declare that I have read and understand ADEA’s Privacy Statement (2014) and agree to be bound by this policy as of the date this form is submitted.
5.Please enter today's date
Date