Disclosure Statement Part A
Please read the Trinity University Conflict of Interest Policy before you complete this form:
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Art & Art History
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Modern Language and Literatures
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Sociology & Antropology
Speech & Drama
Have you read the university's policy on conflict of interest within the past 12 months, and do you understand that policy?
Do you agree to comply with any conditions or restrictions imposed by the Trinity University Conflict of Interest Committee to manage, reduce or eliminate actual or potential conflicts of interest?
Are you an investigator involved in a research project or do you plan to submit a research proposal concerning design, conduct, and reporting of research data?
Do you have equity interest in a business related to your duties at Trinity? In other words, could the value of equity interest held in any related business by you or a family member be influenced by the exercise of your professional duties at Trinity?
Do you have financial connections with a business related to your duties at Trinity? In other words, are you or a family member in a policy position in a for-profit business or have you or will you or a family member receive income of $500 or more from any for-profit business with activities related to your professional area at Trinity? Consulting income is not included.
In your activities outside of Trinity, did you (will you) utilize, in either a paid or unpaid capacity, the services of Trinity students or staff over whom you exercise supervisory or academic responsibility in your role at the University?
Did you (will you) make use of Trinity facilities, equipment, intellectual property, or staff services to support consulting at a for-profit business or some other commercial activity?
Have you (will you), or anyone in your family had (have) a financial interest in any contract, sale, or other transaction to which Trinity was a party?
Are there (will there be) any other situations, not listed above, that may create an actual or perceived conflict of interest between your role at Trinity and an outside interest?
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