12.
If you are a state official or state employee, have you had prior dealings with the State Ethics
Commission, including but not limited to: (1) being investigated; (2) requesting advisory
opinions; or (3) applying for employment at the State Ethics Commission?
YES
NO
If yes, please explain:
_____________________________________________________________________________
_____________________________________________________________________________
13.
Do you have any current matters pending before the State Tax Department, Internal Revenue
Service, or other law enforcement agencies?
YES
NO
If yes, please explain:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
14.
Do you understand that an ethics commissioner cannot take an active part in political
management or in political campaigns?
YES
NO
“The members of ethics commissions
“Members of the commission shall
shall be prohibited from taking an active part
hold no other public office.”
in political management or in political
Hawai`i Revised Statutes § 84-21
campaigns.”
Article XIV, Hawai`i Constitution
15.
Does any of your job responsibilities include lobbying at the state legislature?
YES
NO
16.
Please append to your application a brief statement explaining why you want to be a member
of the Commission.
17.
Please append to your application three (3) letters of recommendation attesting to your
character and integrity.
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE ABOVE ANSWERS AND
THE ATTACHED RESUME ARE TRUE AND CORRECT.
Signature __________________________________
Date ___________________
(Revised: 07/2003)
4
CLEAR FORM