Integrity Pact Agreement for Structured Cases
Please complete this form to acknowledge and commit to the integrity principles for your participation in the specified structured case or project.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Affiliation (if applicable)
Your Role in the Case/Project
*
Title or Reference of the Structured Case/Project
*
Brief Description of the Case/Project
*
Please indicate the main objectives of this case/project.
*
Have you participated in an integrity pact or similar agreement before?
*
Yes
No
Select the key integrity principles you commit to uphold for this case/project:
*
Transparency
Fairness
Accountability
Impartiality
Confidentiality
Compliance with agreed procedures
Other
If you have any potential conflicts of interest to declare, please describe them here.
Additional Comments or Remarks
Signature of Participant (Please sign below to confirm your commitment)
*
Submit Integrity Pact
Submit Integrity Pact
Should be Empty: