2023 Conflict of Interest Disclosure Statement - Trustees

2023 Conflict of Interest Disclosure Statement - Trustees
University Of Delaware 

2023 Annual Conflict of Interest Statement - Trustees

Please complete and submit this form by July 28, 2023. If any answer to a question is “yes”, please explain/describe and include pertinent details.

Section I - Policy Acknowledgement

The first step of the 2023 Annual COI Disclosure requires you to acknowledge that you have received, read and understand the University’s conflict of interest policy covering Trustees documented in the Bylaws of the University of Delaware, Section 1-4 (“Trustees COI Policy”), a link of which is below. Please take a moment to review this policy and familiarize yourself with its scope, objective, and your obligations under this policy as a Trustee before completing the 2022 Annual COI Disclosure.
I have received, read and understand the Trustees COI Policy.
I have received, read and understand the Trustees COI Policy.
I agree to comply with the terms of the Trustees COI Policy.
I agree to comply with the terms of the Trustees COI Policy.

Section II - Questions

1. Do you have any family members who have received compensation from the University for services rendered as a full- or part-time employee, independent contractor, or otherwise, since July 1, 2022? Or who are anticipated to receive such compensation from the University in the next 12 months?
1. Do you have any family members who have received compensation from the University for services rendered as a full- or part-time employee, independent contractor, or otherwise, since July 1, 2022? Or who are anticipated to receive such compensation from the University in the next 12 months?
2. Are you or any family member, an officer, director, trustee, partner or employee of a commercial or non-profit corporation, partnership, association of other organization which has, or may have, an economic or other relationship with the University, since July 1, 2022?
2. Are you or any family member, an officer, director, trustee, partner or employee of a commercial or non-profit corporation, partnership, association of other organization which has, or may have, an economic or other relationship with the University, since July 1, 2022?
3. Do you or any family member, have a material financial interest in any corporation, partnership, or other entity which has, or may have, an economic or other relationship with the University, since July1, 2022?
3. Do you or any family member, have a material financial interest in any corporation, partnership, or other entity which has, or may have, an economic or other relationship with the University, since July1, 2022?
4. Are you employed by a state or other government body, (e.g. a city, municipality, county, township, etc.), including as an elected or appointed public official, since July 1, 2022?
4. Are you employed by a state or other government body, (e.g. a city, municipality, county, township, etc.), including as an elected or appointed public official, since July 1, 2022?
5. Has any endowment fund, pension, retirement, savings, or similar plan provided by the University engaged in any transaction with you or any of your family members? Please exclude any investments in a publicly traded entity.
5. Has any endowment fund, pension, retirement, savings, or similar plan provided by the University engaged in any transaction with you or any of your family members? Please exclude any investments in a publicly traded entity.
6. Have you or any of your family members received or made any loans to the University or any of its affiliates, since July 1, 2022? Please exclude amounts due on usual trade terms and for ordinary travel and expense advances.
6. Have you or any of your family members received or made any loans to the University or any of its affiliates, since July 1, 2022? Please exclude amounts due on usual trade terms and for ordinary travel and expense advances.
7. Have you or any of your family members received any grants, scholarships or financial assistance from the University, since July 1, 2022? Please exclude amounts received as a result of the University’s tuition remission program or course fee waiver.
7. Have you or any of your family members received any grants, scholarships or financial assistance from the University, since July 1, 2022? Please exclude amounts received as a result of the University’s tuition remission program or course fee waiver.
8. Have you or any of your family members disclosed or used any confidential or proprietary information relating to the University’s business for your personal profit or advantage, or that of any family member, since July 1, 2022?
8. Have you or any of your family members disclosed or used any confidential or proprietary information relating to the University’s business for your personal profit or advantage, or that of any family member, since July 1, 2022?
9. Have you or any of your family member accepted gifts, gratuities, or entertainment that may influence your judgment or actions concerning the business of the University, since July 1, 2022?
9. Have you or any of your family member accepted gifts, gratuities, or entertainment that may influence your judgment or actions concerning the business of the University, since July 1, 2022?
10. Have you engaged in any other financial, personal, or other activities with the University since July 1, 2022, which might create an appearance of a conflict of interest to a reasonable person? Or are there any transactions you have had with the University, not covered by this questionnaire?
10. Have you engaged in any other financial, personal, or other activities with the University since July 1, 2022, which might create an appearance of a conflict of interest to a reasonable person? Or are there any transactions you have had with the University, not covered by this questionnaire?
11. Do you have a family relationship or a business relationship with any other Trustee, Officer, or Key Employee of the University?
11. Do you have a family relationship or a business relationship with any other Trustee, Officer, or Key Employee of the University?

Section III - Certification

By checking the box below, I certify that the above information is true and complete to the best of my knowledge. Furthermore, I agree that if in the, any situation arises which may involve me in a conflict of interest or the appearance of a conflict of interest, I will promptly updatemy disclosure form.
I certify that the above information is true
I certify that the above information is true
Please submit your 2023 COI Form by clicking on the Submit button below.

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