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I lei ASE complete and submit form and any attachments to coi@mtu.eduConflict of Interest Disclosure
Cover Sheet
Name: ___
Your Academic Title: ___
Department/School: ___
Telephone Number & Email
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How to fill out potential conflict of interest

How to fill out potential conflict of interest
01
Read the potential conflict of interest policy and guidelines.
02
Identify any personal or professional relationships that may pose a conflict of interest.
03
Disclose all relevant conflicts of interest in writing.
04
Provide specific details and background information about the conflict.
05
Review and sign the conflict of interest form.
06
Submit the completed form to the designated authority.
07
Update your conflict of interest declaration regularly as new conflicts arise.
08
Avoid engaging in activities that may compromise your objectivity and integrity.
09
Seek guidance from a supervisor or ethics committee if unsure about a potential conflict.
10
Adhere to any mitigation measures or recommendations provided by the authority.
Who needs potential conflict of interest?
01
Employees and staff of an organization.
02
Board members and executives.
03
Individuals involved in decision-making processes.
04
Contractors and consultants working with the organization.
05
Any individual with a potential conflict of interest related to the organization's activities.
06
Volunteers and interns working within the organization.
07
Third-party entities engaged in business relationships with the organization.
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What is potential conflict of interest?
A potential conflict of interest refers to a situation in which an individual's personal interests, relationships, or financial interests could potentially influence their professional actions or decisions.
Who is required to file potential conflict of interest?
Typically, individuals in positions of public trust, such as government employees, board members, and certain professionals, are required to file potential conflict of interest disclosures.
How to fill out potential conflict of interest?
To fill out a potential conflict of interest form, individuals should provide detailed information about their personal and financial interests, relationships that could influence their decisions, and any relevant affiliations that may create a conflict.
What is the purpose of potential conflict of interest?
The purpose of identifying and disclosing potential conflicts of interest is to protect the integrity of decisions made in public service or professional practice, ensuring transparency and maintaining public trust.
What information must be reported on potential conflict of interest?
Individuals must report any personal relationships, financial interests, affiliations with organizations, and any other circumstances that may create a real or perceived conflict between personal interests and professional duties.
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