Assistance League of Northern Virginia Conflict of Interest Disclosure Form
Please describe below any relationships, positions or circumstances in which you are involved that you believe could contribute to a Conflict of Interest as defined in the aforementioned policy of Assistance League of Northern Virginia. If none are in existence, then please print the word’s “NONE APPLY.”
I hereby certify that the information set forth above is true and complete to the best of my knowledge. I have reviewed, and agree to abide by, the Conflict of Interest Policy of Assistance League of Northern Virginia.