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The Harvard Glee Club Foundation requests that members of the Board of Directors provide disclosure of potential conflicts of interest in serving as a member of the Board at the commencement of each new term of service or more often as necessary. Please complete and return this form to Foundation staff. I understand that I am expected to report promptly any changes in my affairs that might affect compliance with this policy. I acknowledge that I have read and understand the Harvard Glee Club Foundation Conflict of Interest Policy.

I have NO conflicts to report

I have potential conflicts to report (please list in the box below)