BOD - CoI Questionnaire | dupagefederation

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:

Have received a copy of the Conflict of Interest policy. If you need a copy, you can download a copy below.

Have read and understand the Conflict of Interest policy.

Agree to comply with the Conflict of Interest policy.

Understand that the Organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.

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

First Name

Last Name

Today's Date

Thank you for completing our annual Conflict of Interest Survey!

Download Conflict of Interest