Conflict of Interest and Nondisclosure Agreement TROHN Advisory Committee Conflict of Interest and Nondisclosure Agreement Name* First Last Email* Conflicts of InterestTROHN Advisory Committee members must disclose any “conflicts of interest ". A conflict of interest (COI) is a situation in which a person has multiple interests, financial or otherwise, one of which could possibly corrupt the motivation or decision-making of that individual. Note, identifying a conflict does not mean you will be disqualified. Actually, your connection to recovery housing can make you an ideal committee member. Disclosing your conflicts gives the Committee and other committee members advance notice of potential conflict of interests in order to manage around them.List any company or organization that you or a family member owns (or owns interest in) that may pose a conflict of interest regarding recovery housing? Enter "none", if this is not applicable.List any company or organization that you or a family member are employed or contracted by that may pose a conflict of interest regarding recovery housing? Enter "none", if this is not applicable.Nondisclosure AgreementI understanding that as a TROHN Advisory Committee member, I may receive sensitive or proprietary information. As such, I shall not, without prior written approval, use information received through the TROHN Advisory Committee to benefit, publish, copy, or otherwise disclose to others, or permit the use by others for their benefit or to the detriment of recovery housing providers, TROHN or RecoveryPeople. I agree to uphold the nondisclosure agreement.Date MM slash DD slash YYYY SignatureCAPTCHA
