Preliminary Note: In order to be more comprehensive, this statement of disclosure/questionnaire also requires you to provide information with respect to certain parties that are related to you. These persons are termed “affiliated persons” and include the following:

• Your spouse, child, mother, father, brother, sister, or descendant;
• Any corporation or organization of which you are a board member, an officer, a partner, participate in management or are employed by.

I HEREBY CONFIRM that I have read and understand SBIC’s conflict of interest policy and that my responses to the above questions are complete and correct to the best of my knowledge. I agree that if I become aware of any information that might indicate that this disclosure is inaccurate or that I have not complied with this policy, I will notify [President or Chairman of the Board] immediately.

2024 Annual Documents

Select Yes or No

1. I have read and affirm commitment to the Mission - Philosophy of Education - Educational Outcomes - Core Values - Theological Distinctives documents.

2. I have read the Annual Budget Planning & Processes document outlining SBIC’s budget planning & policies.

3. I have read, affirm, and am in agreement with the ABHE Eligibility Requirements #22-25 of document.

4. I have read and am in agreement with SBIC’s subscription to the ABHE Tenets of Faith document.

5. I have read and signed the Conflict of Interest & BOD Annual Questionnaire document.

6. I have completed the BOD Annual Assessment document.

7. I have completed the BOD President & CEO Annual Written Evaluation document.