APHON’s Conflict of Interest Disclosure Policy

APHON has adopted a conflict-of-interest policy to ensure transparent and appropriate decision-making, particularly in material transactions and relationships involving APHON and its affiliates.

The policy requires individuals to disclose any relationship that could present a real or apparent conflict of interest, such as transactions that might financially benefit the individual or a related party. For instance, if a director’s employer has a potential contract with APHON, this would be considered a conflict of interest. Once disclosed, the individual can present their views but must recuse themselves from further discussion and voting on the matter. If the transaction is approved by a majority of disinterested decision-makers, it may proceed.

Affected individuals include APHON-elected officials and committee leaders and others acting on behalf of APHON. Related parties include spouses, children, employers, and companies significantly owned by the individual.

These individuals must annually submit a statement regarding their activities and those of related parties. The policy also prohibits certain situations where inherent conflicts could harm APHON, such as serving on boards or committees of competing organizations.

Adopted October 7, 2004; Revised January 2021, June 2024)

APHON’s Conflict of Interest Disclosure

To assist APHON in determining the potential for conflicts of interest, please answer the following questions. The conflict of interest disclosures are to be filled out by APHON leaders on a yearly basis. Should a conflict of interest arise, it is your responsibility to complete a disclosure form and make APHON aware.

Name

This field is for validation purposes and should be left unchanged.

Your Name(Required)

First Last

Your Email Address(Required)

Select your APHON volunteer committee(s) from the list below.(Required)

Your Leadership Position(s)(Required)

Executive Committee or Board Member

Committee Chair

Committee Vice Chair

Committee Past Chair

Committee Member

Local Chapter Leadership (Chapter President, Secretary, Treasurer, etc)

Project Lead

Section Editor

Author

Conflict of Interest Disclosure Questions

Click here to read APHON’s Conflict of Interest Policy

Are you or a related party currently being compensated, have been compensated within the past 12 months, or being compensated by APHON or an affiliate for services rendered to APHON or the affiliate (whether as a part-time or full-time employee, independent contractor, consultant or otherwise in an ongoing relationship)?(Required)

Yes

Disclosure comments

Are you a board member, volunteer or consultant for any professional or charitable organization that collaborates with APHON or has like-minded goals?(Required)

Yes

If yes, please share the organization, your role/affiliation.(Required)

Are you a director, officer, employee or owner in any business or entity (e.g., pharmaceutical company, research center, university, consulting firm, vendor, etc.), which, to your knowledge, does or would like to do business with APHON?(Required)

Yes

If yes, please explain (type of business, transaction, and relationship)(Required)

Please also explain your compensation or other financial arrangements, if any, with the identified business or entity concerning any compensation received by you, directly or indirectly, from any business transaction with APHON:

Date(Required)