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I understand that if a potential conflict of interest is not approved by the Board of Trustees of the ², I may be required to discontinue it or divest myself of it. _________________________ __________ Signature of person submitting Date this statement _________________________ __________ Dean or Department Head Date _________________________ __________ Vice President Date Return this completed form to the Office of the Vice President for Finance and Administration.      YZ[          , - . / 0 1 2 3 4 5 6 7   3 ` a hkCJaJ hk>*h hwg>*hk hk>*hk hkCJ$U YZ[ $$&dIfPa$ $$Ifa$ &d P gdk$a$gdkgdk$a$gdk      , - Hkd$$Ifl_r $?   t644 laytk$$&dIfPa$ $$Ifa$$&dIfP- . / 0 1 2 3 4 5 6 7 lgggggdkkd$$Iflr $?   t644 laytk$If 7   3 ` a  ! " $ % ' ( *  ^`gdk ^`gdkgdk$a$gdk   ! 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