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            "text": "KENTUCKY STATE UNIVERSITY\nBOARD OF REGENTS\nCONFLICT OF INTEREST CERTIFICATION",
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            "text": "I, _____, hereby certify that I have no existing or potential interests that are in conflict or would be in conflict with the interests of Kentucky State University or any of its directly affiliated organizations. I further certify that I have no existing or potential interests that impair or would reasonably impair my independent, unbiased judgment as a member of the Kentucky State University Board of Regents.",
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                        "label": "I, _____, hereby certify that I have no existing or potential interests that are in conflict or would be in conflict with the interests of Kentucky State University or any of its directly affiliated organizations. I further certify that I have no existing or potential interests that impair or would reasonably impair my independent, unbiased judgment as a member of the Kentucky State University Board of Regents.",
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            "text": "I have not entered into or maintained any business or financial interest, transaction, or acquisition that conflicts with the interests of Kentucky State University. I have no direct or indirect personal interest in any contract for the purchase of land, buildings, supplies, equipment or services for the University. Furthermore, I have not accepted gifts or benefits from any person holding contracts for supplies or services with Kentucky State University or any person seeking contracts or other benefits from Kentucky State University."
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            "text": "I have reviewed Kentucky State University's Ethical Principles and Code of Conduct and I am familiar with the disclosure requirements of that policy. I understand that the Bylaws of the Kentucky State University Board of Regents require that I immediately disclose any potential conflict of interest to the Executive Committee of the Kentucky State University Board of Regents as well as the President of Kentucky State University and I hereby agree to disclose any such interest."
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            "text": "Date"
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