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This form is used by unclassified staff at the University of Wisconsin System to report outside activities and interests as required by Wisconsin Administrative Code. It collects information on remuneration,
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How to fill out Unclassified Staff Report on Outside Activities and Interests

01
Begin with your personal information including your name, position, and department.
02
Indicate the date of the report.
03
List any outside activities or interests that you engage in, including details such as the nature of the activity, time commitment, and any compensation received.
04
If applicable, specify any potential conflicts of interest with your university duties.
05
Review and confirm that all information is accurate and complete.
06
Submit the report to your supervisor or the designated office within the institution.

Who needs Unclassified Staff Report on Outside Activities and Interests?

01
All unclassified staff members who are engaged in outside activities and interests that may conflict with their university responsibilities.
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An employee may permit his/her name and official title in connection with an outside activity (other than teaching, speaking, or writing) as long as there is a prominent disclaimer indicating that the employee is serving in a personal capacity, e.g., the name and official title may be listed on the letterhead or other
(a) Prior approval requirement. Before engaging in any outside employment, whether or not for compensation, an employee, other than a special Government employee, must obtain written approval of his immediate supervisor and the Counselor.
An employee may permit his/her name and official title in connection with an outside activity (other than teaching, speaking, or writing) as long as there is a prominent disclaimer indicating that the employee is serving in a personal capacity, e.g., the name and official title may be listed on the letterhead or other
An Outside Activity is just what the name implies . . . "Outside." It is outside of, or not related to, your current official work.
In addition, DoD 5500.7-R, Joint Ethics Regulation, is utilized to determine whether the potential for ethical issues exist by engaging in off-duty employment. It is up to the member's commander to analyze all aspects of the request when determining whether the member is capable of the off-duty employment.

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The Unclassified Staff Report on Outside Activities and Interests is a document that allows unclassified staff members to disclose any external activities, affiliations, or interests that may affect their work or present a conflict of interest.
Typically, unclassified staff members, including faculty and administrative personnel, who engage in outside activities that could potentially conflict with their official duties are required to file this report.
To fill out the report, individuals must provide detailed information regarding their outside activities, including the nature of the activity, the organization involved, the time commitment, and any potential conflicts of interest. It's important to follow the specific guidelines set by the relevant institution.
The purpose of this report is to promote transparency and ensure that staff members avoid conflicts of interest that may arise from external engagements, thereby safeguarding the integrity of their primary responsibilities.
The report must include details such as the title and nature of the outside activity, the name of the organization, the time commitment required, any compensation received, and a description of how the activity could influence or conflict with their official duties.
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