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Outside Employment Disclosure Form
For Senior Management Employees
Requirements: This form must be completed by all Senior Management employees (includes the Chancellor, Executive Vice Chancellors,
Vice
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How to fill out revised outside employment disclosure

How to fill out revised outside employment disclosure
01
Obtain the revised outside employment disclosure form from your employer.
02
Read the instructions provided with the form carefully to understand the requirements and guidelines for filling it out.
03
Gather all the necessary information and documents required for the disclosure, such as details of your outside employment, income sources, and any potential conflicts of interest.
04
Fill in your personal information accurately, including your name, employee ID, and contact details.
05
Provide detailed information about your outside employment, including the company name, your job title or role, and the number of hours you dedicate to this employment per week.
06
Declare all sources of income related to your outside employment, such as salaries, bonuses, or commissions.
07
Indicate any potential conflicts of interest between your outside employment and your current role or responsibilities within the organization.
08
Review the completed form for any errors or missing information before submitting it.
09
Sign and date the form to certify the accuracy and completeness of the information provided.
10
Submit the filled-out form to the designated personnel or department within your organization as instructed.
Who needs revised outside employment disclosure?
01
Employees who have outside employment or engage in any activities outside of their primary job with the organization.
02
Employees who receive additional compensation or income from sources other than their primary employer.
03
Employees who may have potential conflicts of interest between their outside employment and their responsibilities within the organization.
04
Employees who are required by their employer, industry regulations, or legal obligations to disclose their outside employment.
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