Dialogue Volume 13 Issue 2 2017 | Page 75

Conflict of Interest Form for Council Election Candidates

I acknowledge that :
• As a member of the College Council , my primary duty would be to serve and protect the public interest .
• I have read and I ’ m familiar with the College ’ s Conflict of Interest Policy in the Governance Process Manual and Part 6 of the General By-Law ( which addresses conflicts of interest )*.
• I understand the principles of Conflict of Interest as set out in Part 6 of the General By-Law and the College ’ s Conflict of Interest Policy .
• In the event I become a member of Council , I am bound to adhere to and respect the College ’ s Conflict of Interest Policy and Part 6 of the General By-Law .
• Council members must avoid conflicts between their duty to the College and their self-interest or duty to another organization . In the space below , I have identified any relationship I currently have with any organization that may create a conflict of interest ( by virtue of having competing fiduciary obligations to the College and the other organization ), should I be elected to Council . This includes but is not limited to entities of which I am a director or officer .
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Date : ___________________________________________________
Signature : _______________________________________________
Print Name : _____________________________________________
* The General By-law and Governance Process Manual can be found at www . cpso . on . ca
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