Board of Directors' Conflict of Interest
Annual Statement

By completing the information below, I acknowledge that I am a director or officer of DuPage Federation on Human Services Reform and I affirm that I:

Providing your name and the date you complete this form signifies your attestation of DuPage Federation's Conflict of Interest Annual Statement.

The Federation's mission is to generate cross-sector solutions that leverage expertise to address the human service needs of the DuPage region.

DuPage Federation on Human Service Reform

1910 S. Highland Ave., Suite 135, Lombard, IL 60148 

info@dupagefederation.org