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Conflict of Interest Form

Flashpoint Artists Initiative is committed to transparency and community care. Use this form to report a perceived or actual conflict of interest that may impact your role as a volunteer. This form is confidential. Refer to our Conflict of Interest Policy for more details.

Full Name

Date

Department or Committee

What area of the organization does this conflict involve?

Describe the decision or work this conflict impacts

Who is the related party involved?

What steps have you taken to mitigate the conflict of interest?

Do you have any questions or concerns?