Form for disclosing external affiliations for compliance with the policy on investigator financial interests and conflicts of interest. Please refer to the Investigator Financial Interests and Conflicts of Interest Policy while completing this form.
This form will be reviewed by the office of College Grants & Sponsored Programs. If it is determined that a financial conflict of interest may exist, the disclosure will be forwarded to the Dean of Faculty.
You will received a copy of your competed form once the office of College Grants & Sponsored Programs reviews your disclosures and signs-off on the form.
By providing an electronic signature below and submitting this form, I certify that:
A. I have read and understand the Union College Investigator Financial Interests and Conflicts of Interest PolicyB. To the best of my knowledge, I have made all required financial disclosuresC. I agree to comply with any conditions or restrictions imposed by Union College for the purpose of managing or eliminating any actual or potential conflicts of interest related to this grant. If I am unable to comply, I understand the College may decline the grant award.