Page 1 of 2 1/1/06
Instructions for the Conflict of
Interest Questionnaire
According
to Local Government Code, Chapter 176, a person or an agent of a person who
contracts
or seeks to contract for the sale or purchase of property, goods, or services
with
Questionnaire
with the Business Office not later than the seventh business day after
the
date that the person begins contract discussions or negotiations with the
District or submits
to
the District an application, response to a request for proposals or bids,
correspondence, or
another
writing related to a potential agreement with the District. This Conflict of
Interest
Questionnaire
must be filed annually by September 1 as long as the person or the agent of the
person
continues to contract or seek to contract for the sale or purchase of property,
goods, or
services
with the District or not later than the 7th business day after the date the
originally
filed
questionnaire becomes incomplete or inaccurate. The completion of the Conflict
of
Interest
Questionnaire is not needed if the person is an employee of a governmental
entity and
is
acting in the employee’s official capacity.
Explanation
of the Conflict of Interest Questionnaire
1.
Name of person doing business with the District.
2.
Check the box if you are filing an update to a previously filed questionnaire.
3.
Name each employee or contractor of the District who makes recommendations to a
District
officer with respect to expenditures of money AND describe the affiliation or
business
relationship. If no affiliation or business
relationship exists, state
“NONE.”
Examples:
If your spouse, parent, or child is the
District’s Director of Purchasing and a bid is being
submitted to Sundown ISD, this relationship
must be reported.
If your spouse, parent, or child is the
Principal at a School and your business may sell
items directly to that school, this
relationship must be reported.
If you or your spouse, parent, or child is in
business with a District employee that would
be making a recommendation concerning a
purchase or sales transaction involving you,
the relationship must be reported.
If you employ or do business with a spouse,
parent, or child of a District employee that
would be making a recommendation concerning a
purchase or sales transaction
involving you, the relationship must be
reported.
If you are a District employee and would be
making a recommendation concerning a
purchase or sales transaction involving you,
the relationship must be reported.
Page 2 of 2 1/1/06
Instructions for the Conflict of
Interest Questionnaire
If
your neighbor or friend is a District employee that would be making a
recommendation
concerning
a purchase or sales transaction involving you and you feel that your
relationship
with
this employee could affect their recommendation, this relationship must
be
reported. If any other situation exists that would result in a conflict of
interest, the
relationship
must be reported. If your spouse, parent, or child is a teacher that does not
make
recommendations
concerning purchasing or sales transactions, this relationship
should
not be reported.
If
your spouse, parent, or child is a Principal at a School and a bid is being
considered by a
separate
department such as Facilities Planning (Construction Department), this
relationship
should
not be reported.
4.
Name each District officer who appoints or employs the District officers for
which this
questionnaire
is filed AND describe the affiliation or business relationship. If
no
affiliation
or business relationship exists, state “NONE.”
Example:
If you or your spouse, parent, or child is
related to, employs, or is in business with a
District officer or their spouse, parent, or
child, this relationship must be reported.
5.
Name of District officer with whom you have an affiliation or business
relationship.
For
each person listed under question #4, complete page 2. If answers to A, B, and
C
are
NO, indicate the name of the District officer, but do not complete section D.
6.
Sign and date this form.
Turn
in the completed form to the Business Office. If any disclosures are indicated
under
questions #3 or #4, the form will be posted on the District’s website.
If
you have any questions, please contact the Business Office at 806-229-3021.