Leander, TX · Williamson County
Conflict of Interest Policy & Disclosure Statement for Applicants
This form lets Community Resource Grant applicants disclose conflicts of interest and certify their information for the City of Leander.
What this form is
Community Resource Grant applicants use this form to review and acknowledge the City’s conflict of interest policy, disclose actual, potential, or perceived conflicts, and certify their information. The City requires applicants to complete and sign it and attach it to their grant application submission. It asks for the applicant organization, an authorized representative’s name and title, signature, date, and conflict disclosures.
Who needs it
Organizations applying for a City of Leander Community Resource Grant must complete, sign, and attach this disclosure to their grant application.
How to submit it
Complete and sign the form, then attach it to your grant application submission. For questions about conflicts of interest, contact the Grants Administrator at [email protected].
About notarization
This form is signed without a notary; the authorized representative signs and dates it, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download The Form
Download the Conflict of Interest Policy & Disclosure Statement for Applicants.
- 2
Complete The Disclosure
Review the policy and disclose any actual, potential, or perceived conflicts of interest.
- 3
Sign And Date
Provide the applicant organization and authorized representative’s name and title, then sign and date the form.
- 4
Attach To Your Application
Attach the completed form to your Community Resource Grant application submission.
Frequently asked questions
- Who completes the conflict of interest disclosure?
- Organizations applying for the City of Leander Community Resource Grant complete the form. An authorized representative provides their name and title, signs, and dates it.
- What conflicts must applicants disclose?
- Applicants must disclose actual, potential, or perceived conflicts, including relevant employment, business, or family relationships, gifts, payments, or benefits, and other circumstances that could affect impartiality.
- How do I submit the conflict of interest form?
- Complete and sign the form, then attach it to your grant application submission. The form lists [email protected] for questions about what constitutes a conflict.
- Do I need a notary for this conflict of interest form?
- No. The authorized representative signs and dates this form; it does not identify any notarized or sworn attachment.
Need something notarized?
This Conflict of Interest Policy & Disclosure Statement for Applicants doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.