Board Member Conflict of Interest Form I agree to: Disclose any actual, potential, or perceived conflicts of interest involving myself or my family/close relationships. Recuse myself from discussion and voting on matters where I, a family member, close personal relationship, or business associate could personally benefit. Avoid using my board position for personal or financial gain. Conflicts include, but are not limited to: Familial relationships with other board members, the Executive Director, or staff. Holding paid roles such as instructor or contractor. Engaging in any business transaction with the organization without board disclosure and approval. Transparency and Commitment(Required) I commit to full transparency in my conduct as a board member, including timely communication, responsible use of information, and support of Make Santa Fe’s mission and values.Conflict DisclosurePlease answer the following to help us identify any existing relationships or roles that could be considered a conflict of interest. This section is reviewed by the Board Chair and/or Governance Committee to ensure transparency and compliance. Disclosures do not disqualify anyone from board service but must be appropriately managed.Do you have any family or close personal relationships with any other board member, the Executive Director, staff, or contractors?(Required) Yes No If yes, please describe:(Required)Are you a paid contractor, instructor, or vendor for Make Santa Fe?(Required) Yes No If yes, please describe:(Required)Do you or any family member own a business that has financial dealings with Make Santa Fe?(Required) Yes No If yes, please describe:(Required)Do you hold any leadership role with another organization that may present a competing or overlapping interest with Make Santa Fe?(Required) Yes No If yes, please describe:(Required)Are there any other relevant disclosures not covered by questions 1-4?(Required) Yes No If yes, please describe:(Required)Acknowledgment(Required) I have read and understand this Conflict of Interest and Separation of Duties Agreement. I agree to uphold its principles throughout my board service.Name(Required) First Last Email(Required) Signature(Required) Δ