Memorandum
TO: Board Members
Members of Board Committees
Fred Sanderson, Superintendent
Central Office Administrators
Principals
FROM: Donald Dunnigan, Ed.D.
Chief Human Resources Officer
DATE: January 14, 2011
SUBJECT: Board Policy BCB (Conflict of Interest) and Administrative Rule GBEA (Staff Ethics)
All members of the Board of Education, members of Board committees (Board Policy BDE [Board Committees]), the Superintendent and members of the Superintendent's Cabinet, all District supervisory personnel and all employees who have the ability to influence business transactions in the aggregate annual amount of $500.00 and above shall disclose in writing, any known relationship they, or any member of their immediate family, have or have had in the twelve (12) months immediately preceding the disclosure, with any current or prospective vendor/consultant to the District.
Action on your part is required. You must complete and return this form, even if you do not have a relationship as described in this memo. You should understand the following terms before completing the form.
1. Relationship with Vendors/Consultants – Any relationship, contractual or otherwise, which might result in any pecuniary gain, direct or indirect, in the aggregate annual amount of $100.00 and above.
2. Immediate family – Spouse, children, mother, father, brother, sister, grandmother, grandfather, grandchildren, mother-in-law, father-in-law, sister-in-law, daughter-in-law, son-in-law, brother-in-law, and any step relatives as identified in this definition.
Attached, please find the “Disclosure of Relationship with Vendors/Consultants” form.
· If you or members of your immediate family have such a relationship, please complete the entire form.
· If not, please complete item number 1 and 2.
· Sign and return the form by Friday, January 28, 2011 to my office, attention Denise LaRosa, Human Resources.
Should you have any questions, please call Denise LaRosa at 770-426-3398.
Thank you.
DD:lm
DISCLOSURE OF RELATIONSHIP WITH VENDORS/CONSULTANTS
In compliance with the Cobb County Board of Education requirement pertaining to disclosure of relationships with vendors/consultants of the Cobb County School District, the undersigned hereby represents as follows:
1. Employee Name/ Position
2. Check one below.
I do not have a vendor/consultant relationship to disclose. Skip to bottom of form, enter date
and sign.
I have a vendor/consultant relationship to disclose. Please complete the entire form.
3. Name of current or prospective vendor/consultant, which is the subject of the disclosure:
4. Detailed description of the relationship with named vendor/consultant, including, but not limited to, the name of the individual in such relationship, the relationship of such individual to the undersigned, the financial interest of such individual resulting from the relationship, and the length of the relationship:
5. I do do not anticipate requesting the designated committee to review the above described relationship for the purpose of seeking a waiver.
6. Additional comments:
Dated this day of , 2011.
Signature / School Name or Department