• The Arc of DFW Area Conflict of Interest Disclosure

  • Date*
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    2 digit month, 2 digit day, 4 digit year
  • Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a perceived conflict of interest between The Arc of DFW Area and your personal interests, financial or otherwise:

    Please specify other non-profit and for-profit boards you (and your spouse) sit on, any for-profit businesses for which you or an immediate family member are an officer or director, or a majority shareholder, and the name of your employer and any businesses you or a family member own

  • *
  • I hereby certify that the information set forth above is true and complete to the best of my knowledge. I have reviewed, and agree to abide by, the Conflict of Interest Policy of The Arc of DFW Area.

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  • Should be Empty: