(Please consider thoughtfully, sign, return in the envelope provided.)
I continue to support our mission, purpose, and leadership.
I understand board membership requires the equivalent of 10 days per year of my time, including preparation and meetings. I am able to give that time during the twelve months ahead and expect to attend all board and committee meetings unless I give the chairman advance notice of my need to be absent for good cause.
I intend to contribute financially to our organization during the year and will help open doors to friends who may be interested in contributing.
I have reviewed, signed, and intend to comply with our board Conflict of Interest policy. I am attaching information on any potential conflict of interest that has not been previously disclosed to the secretary of the board.
I will participate in the annual self-evaluation of board structure and process and in board development activities.
If anything should occur during the year which would not allow me to keep these intentions of being a positive contributor to our board, I will take the initiative to talk to the officers about a voluntary resignation to allow another to serve who is able to meet these common expectations of all board members.
I _______________________________ agree that if I become aware of a real, perceived or potential conflict of interest, I will, to the best of my ability, disclose said conflict and abstain from voting and/or discussions as deemed appropriate by the Board of Directors.
I understand and agree that as an DRM officer, Board Member, PAIMI Advisory Council member or DRM staff, acting on behalf of DRM, I shall adhere to the highest standard of ethical conduct and avoid activities or situation where my personal or business interests could conflict, or reasonably appear to conflict, with the best interests of DRM and its Mission.
I understand and agree to abide by all aspects of the DRM Interest Policy and Disclosure Statement. My failure to abide by all aspects of this Policy and Disclosure Statement may result in forfeiture of my seat on the DRM Board of Directors.
I hereby certify that the information set forth above is correct to the best of my knowledge, information, and belief. I understand that I must promptly advise the President of the Board of Directors and the Executive Director of DRM of any change in this information.
*Definition of immediate family member includes spouse, parents, stepparents, children, stepchildren, siblings, stepsiblings, domestic partner, mothers and fathers-in-law, sons and daughters-in-law, brothers and sisters-in-law, and anyone who shares a home with the signer of this document.
Revised: September 2020.
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