Conflict of Duty and Interest Declaration

Conflict of Interest
Are you in a position to influence a UASU or University decision that may result in real or perceived private benefit to yourself or a Direct Associate?*

YesNoUnsure
Please describe how your influence over a UASU or University decision creates a real and/or perceived benefit to yourself or a direct associate? *
(type 'N/A' if not applicable)

Conflict of Duty
Do your obligations to another organization conflict with your obligations as a student representative in a real or perceived way?*

YesNoUnsure
Please describe your position with the other organization and relevant responsibilities/duties to that organization.*
Please describe how your position and responsibilities conflict with your responsibilities as a student representative in a real or perceived way.*

Conflict Management and Mitigation
How and to what extent does this conflict impact your role as a student representative?*
Does the conflict relate to a single decision or event, or will it impact your entire term or an ongoing responsibility?
In what ways can your conflict be proactively managed or mitigated?*
Provide some initial ideas for mitigation. This may include things like: changing how your obligations are scheduled; boundaries in how you communicate with Direct Associates; abstaining from certain votes, discussions, or activities.
Should be Empty:

Conflict of Interest