Annual Conflict of Interest Statement

BOARD MEMBERS ONLY

Board members are required to complete an annual Conflict of Interest Statement. Please review the Conflict of Interest Policy prior to completing the form.

Name
Position on NHSF Board
I affirm the following:

Disclosures

Do you have a financial interest (current or potential) including a compensation agreement, as defined in the Conflict of Interest Policy?
If yes, has this financial interest been disclosed, as required by the policy?
In the past, did you have a financial interest, including a compensation agreement, as defined in the Conflict of Interest Policy?
If yes, was this financial interest been disclosed, as required by the policy?
Are you an independent director, as defined in the Conflict of Interest Policy?
By checking this box, I certify that the information entered into this form is true and correct to the best of my knowledge.(Required)
This field is for validation purposes and should be left unchanged.

 

 

 

NHUSD Employees

You can conveniently contribute to scholarships, grants and other Foundation programs by payroll deduction. Donations are tax-deductible and may be directed to one or more of the specific programs. Even small donations add up and make a difference for our students!

Send the completed form to the Payroll Department at the ESC.