Nepotism Form

Nepotism Form
Any officer or member of the System who is connected to him or her in the second degree by marriage or the third degree by blood cannot be appointed to a post paid with public funds. Furthermore, an individual may not oversee or have control over a relative's wage or other employment conditions.
Please check the box(es) that apply:
Please fill in the information below.
Rows Person Related Person
Name
Department
Title/ position
Supervisor
Relationship
This employment action is in the best interests of the System, I attest.
Clear
For the projects that have been funded
Rows Not Satisfied
Director of Research
Department
Title/ position
Name of the proposal
Name of the sponsor
Phone Number
Email
I certify that the preceding information is correct, and that the linked individual will not be participating in the study until Director of Research approval is received on this form. If any conditions are placed for such permission, I will make certain that they are met.
Clear
Will there be a subordinate-supervisor relationship as a result of this employment action?
Will the staff be assigned to the same office?
Please outline the work that the connected person will undertake on the sponsored project and why they are the best person for the job.Also, describe who will be overseeing the project's relevant person and how the supervision will be handled.
Is there a risk of a conflict of interest on the sponsored project because of the connected person's involvement?
COMPLETION TO BE DONE BY THE DIVISION OF HUMAN RESOURCES
Should be Empty:

Rows	Not Satisfied
Director of Research
Department
Title/ position
Name of the proposal
Name of the sponsor
Phone Number
Email

Select theme:

Rows	Person	Related Person
Name
Department
Title/ position
Supervisor
Relationship