2022 Austin SHRM Conflict of Interest Disclosure Statement

I hereby provide the following information regarding potential conflicts of interest that may arise:

Question Title

* 1. Describe any Board of Director positions (other than Austin SHRM) you hold, including a brief description of the nature and purposes of the organization(s).

Question Title

* 2. Describe your position of employment, including the nature of the business of your employer, the position you hold and a description of your employment responsibilities.

Question Title

* 3. Describe any outside relationships that you hold with regard to any person or entity from which Austin SHRM obtains substantial amounts of goods and services, or which provides services that substantially compete with Austin SHRM where such relationship involves: a) holding a position of responsibility; b) a substantial financial interest (other than a less than 1% interest in a publicly traded company) or; c) the receipt of any unusual gifts or favors.

Question Title

* 4. Describe any substantial financial interests or positions of responsibility in entities providing goods or services in support of the profession of human resource management other than owning less than a 1% interest in a publicly traded company.

Question Title

* 5. Describe any other interest that may create a conflict with the fiduciary duty to the membership of Austin SHRM or that may create the appearance of a conflict of interest.

Question Title

* 6. By serving in a position of responsibility within Austin SHRM:

I acknowledge my fiduciary responsibility to Austin SHRM and pledge to avoid conflicts of interest or the appearance of conflicts of interest.

I acknowledge that at times I may have access to confidential information and pledge to protect the confidentiality of that information.

I pledge to clarify my position when speaking on my own behalf as opposed to speaking on behalf of the Austin SHRM membership as whole, or as an officer or member of the Board.

I will update this form as needed to keep it current and accurate.

I have read and will abide by the Austin SHRM conflict of interest policy as applicable to the position I hold.

By entering your name & date (below), you acknowledge that you have read and answered the above questions honestly and in entirety to the best of your knowledge.

2022 Austin SHRM Conflict of Interest Disclosure Statement

I hereby provide the following information regarding potential conflicts of interest that may arise:

Question Title

* 1. Describe any Board of Director positions (other than Austin SHRM) you hold, including a brief description of the nature and purposes of the organization(s).

Question Title

* 2. Describe your position of employment, including the nature of the business of your employer, the position you hold and a description of your employment responsibilities.

Question Title

Question Title

* 4. Describe any substantial financial interests or positions of responsibility in entities providing goods or services in support of the profession of human resource management other than owning less than a 1% interest in a publicly traded company.

Question Title

* 5. Describe any other interest that may create a conflict with the fiduciary duty to the membership of Austin SHRM or that may create the appearance of a conflict of interest.

Question Title

* 6. By serving in a position of responsibility within Austin SHRM:

Question Title

* 7. Name

Question Title

* 8. Date