BOARD OF GOVERNORS
DISCLOSURE OF CONFLICTS OF INTEREST
In order to satisfy the requirements of accountability and transparency, the following
information is required of each Board member:
1.
Are you an employee of the University?
2.
Are any members of your immediate family employees of the University?
Yes
No
3.
Are you a student of the University?
4.
Are any members of your immediate family students of the University?
Yes
No
5.
Names of boards, organizations, companies, vendors, contractors, etc. with which
you have an interest, directly or indirectly, and with which the University might at
some time consider a contract or transaction:
Organization, etc
Yes
Yes
No
No
Position Held (if any)
I certify that the information provided above is true and complete, and that I have read
and understood the attached guidelines governing board member responsibilities.
____________________
Date
Signature
Print Name
Submit to: University Secretary, 212 Peter MacKinnon Building, University of Saskatchewan