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
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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
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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
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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
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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