COOK’
MEDICAL
Date: March 11, 2019
Confidentiality of Trade Secrets
During your visit to COOK ENDOSCOPY, you may be exposed to information in the form of
specifications, equipment design, processes, techniques or other confidential business information that
are the property of COOK ENDOSCOPY. This may be as a result of participating in a tour of the facility.
‘We will expect you to treat this information in a confidential manner and not disclose it to anyone and
by signing below you agree to so comply.
Tf you feel you do not want to participate in a tour or have any such confidential information in your
Possession, please indicate below. In this event, your host will take measures to screen such items for
Which you do not wish to accept responsibilty. Should you not indicate your objection to receipt of this
Information, you will be governed by the laws of North Carolina and the United States of America
covering confidential business information and trade secrets,
1 do notwish to be exposed to any confidential information that is the property of COOK
ENDOSCOPY.
@] 1.0 wish to be exposed to any confidential information that is the property of COOK
ENDOSCOPY.
I do not wish to participate in a tour.
@]__ 1 do wish to participate in a tour.
Tam a Vendor of COOK ENDOSCOPY and I am aware of specific training and retraining that I
am required to sign-off on prior to entering production areas.
Twill be entering the Controlled Manufacturing Area (CMA). YES No.
Iwill be escorted while in the Controlled Manufacturing Area (CMA); therefore I do not
require specific training.
Employee escorting Vendor:
(Signature & Date)
Print Name
Signature
Company Employed By Wake Forest University
Callingon —_ Ashi s, Engineer (R&D ~ Sustainin
Witnessed By