Dialogue Volume 10 Issue 2 2014 | Page 59

Conflict of Interest Form for Council Election Candidates I acknowledge that: • As a member of the College Council, my primary duty would be to serve and protect the public interest. •  have read and am familiar with the College’s Conflict of Interest Policy in the Governance Process Manual I and Part 6 of the General By-Law (which addresses conflicts of interest)*. •  understand the principles of Conflict of Interest as set out in Part 6 of the General By-Law and the College’s I Conflict of Interest Policy. • n the event I become a member of Council, I am bound to adhere to and respect the College’s Conflict of I Interest Policy and Part 6 of the General By-Law. •  ouncil members must avoid conflicts between their duty to the College and their self-interest or duty to C another organization. In the space below, I have identified any relationship I currently have with any organization that may create a conflict of interest (by virtue of having competing fiduciary obligations to the College and the other organization), should I be elected to Council. This includes but is not limited to entities of which I am a director or officer. ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Date: ____________________________________________________ Signature: ________________________________________________ Print Name: _______________________________________________ * The General By-law and Governance Process Manual can be found at www.cpso.on.ca DIALOGUE • Issue 2, 2014 59