Sample Agreement To Resolve A Conflict Of Interest Template

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Sample Agreement to Resolve a Conflict of Interest 
Faculty‐Student Relationships Policy (SPG 601.22) 
 
The purpose of this agreement is to identify the actions to be taken to resolve a
conflict of interest as defined in SPG 601.22:
If a romantic and/or sexual relationship occurs or has occurred between a
faculty member and a student for whom the faculty member has
supervisory responsibility, an inherent conflict of interest arises. When a
conflict of this nature occurs, the faculty member must disclose the
relationship so that a resolution to the conflict can be sought.
(Faculty Member), (name of the position that gives the Faculty Member 
supervisory responsibility for the Student) in (name of school, college, or unit), 
has currently (or has had in the past) a relationship with (Student) that requires 
disclosure under SPG 601.22. 
 
The intent of this agreement is to ensure that the relationship between (Faculty 
Member) and (Student) in no way hinders the academic, employment and/or 
professional development of either person, and that University policies are 
respected. 
 
As a result, the following steps are being taken to ensure compliance with the 
SPG. 
 
Academic Responsibilities:  (Faculty Member) and (Student) have agreed to the 
following alternative academic supervision: 
 
 
1. 
 
2. 
 
3. 
 
Professional/Career Development: (Faculty Member) and (Student) have agreed to 
the following alternative professional/career development plans: 
 
 
1. 
 
2. 
 
3. 
 
-OR-

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