Form

Conflict of Interest Form
 

DFWAPPA

 Conflict of Interest Statement

 

 

I,                                                                                           , have:

 

  1. Received a copy of DFWAPPA’s Conflict of Interest Policy.
  2. Have read and understand the Policy.
  3. Agree to comply with the Policy.
  4. Understand that DFWAPPA is a non-profit organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes.

 

 

Printed Name:

 

                                                   

                                                                                               

Signature                                                          Date


 

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