The Conflict-of-Interest Policy of PTANA requires an annual affirmation that you have received, read, understand, and agree to comply with the Conflict-of-Interest Policy. In addition, the policy requires that you annually disclose (1) your affiliations with any organizations with which PTANA may have a financial relationship or like purpose/business, and (2) persons with whom you have a close relationship (such as a family member or close companion) who are affiliated with any organization with which PTANA may have a financial relationship or like purpose/business.
Please describe below any relationships, transactions, or positions you hold (volunteer or otherwise), or circumstances that you believe could create a conflict of interest, now or in the future, between PTANA and your personal interests, and financial or otherwise.