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Office of Community Services skip to primary page contentIncreasing the Capacity of Individuals, Families and Communities

Sub-Award Management

Memorandum of Agreement | Criteria Rating Sheet

Confidentiality and Conflict of Interest Form



Confidentiality and Conflict of Interest Form
33

A. The following persons are excluded from serving on the Compassion Capital Fund (CCF) Demonstration Program (CCFDP) review panel:
  1. all officers of any applicant;
  2. the Executive Director of any applicant;
  3. the immediate past President/Chairperson of any applicant; and/or
  4. anyone serving in an “acting officer” capacity with an applicant, such as the Acting Director or any Interim Board President/Chairperson/Officer
 
B. Persons participating in the review process will abstain from both discussion and voting on issues where there is a potential conflict of interest.
 
C. Persons participating in the review and selection process agree to respect the confidentiality of grantee submissions and the review process
 
 
 
Compassion Capital Fund (CCF) Demonstration Program
Confidentiality and Conflict of Interest Agreement
 
 
I, ______________________________________________, have read the
    (Please print full name)
 
Confidentiality and Conflict of Interest Policy for the Compassion Capital Fund (CCF) Demonstration Program grants process and do hereby, certify my eligibility to participate as a reviewer Fiscal Year 2003 funding.
 
________________________   ________________________
Signature

Date
 
 
 

Memorandum of Agreement | Criteria Rating Sheet