Conflict of interest disclosure form

Conflict of interest disclosure form

NOTE: Only those who are serving in diocesan offices/ roles need to fill this form out. (for example, clergy, employees, or members of diocesan committees, etc.)

Please review the Episcopal Diocese of Fort Worth’s Conflict of Interest Policy and then sign the disclosure form below. If you prefer, you can print and sign a paper copy of the form: Conflict of Interest Disclosure Form – PDF

The Episcopal Diocese of Fort Worth Conflict of Interest Disclosure Form

The Episcopal Diocese of Fort Worth Conflict of Interest Disclosure Form

Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest between the Episcopal Diocese of Fort Worth and your personal interests, financial or otherwise.
Please specify other nonprofit and for-profit boards you (and your spouse) sit on, any for-profit businesses for which you or an immediate family member are an officer or director, or a majority shareholder, and the name of your employer and any businesses you or a family member own

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