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