Conflict of Interest Policy & Form

I have read AACT’s Conflict of Interest policy approved by the Board of Trustees on 10/05/2006 and understand that it is my obligation to act in a manner that promotes the best interests of AACT and to avoid conflicts of interest when making decisions and taking actions on behalf of the AACT.

My answers to this disclosure form are correctly stated to the best of my knowledge and belief. Should a possible conflict of interest arise in my responsibilities to AACT, I recognize that I have the obligation to notify, based on my position, the appropriate individual (President, Treasurer) and to abstain from any participation in the matter until AACT can determine whether a conflict exists and how that conflict shall be resolved. If any relevant changes occur in my affiliations, duties, or financial circumstances, I recognize that I have a continuing obligation to file an amended “Conflict of Interest Disclosure Form” with the AACT office.

I understand that the information on this form is solely for use by AACT and is considered confidential information. Release of this information within AACT will be on a need-to-know basis only. Release to external parties will be only when required by law and/or federal regulations.