Financial Disclosure Form - The University Of Texas At Dallas
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Mandatory form to turn in
Statement of Financial Disclosure
Student Government Elections
Candidate Name: _______________________________________________
Circle One:
Sophomore
Junior
Senior
Graduate
Vice President
President
Date
Item Description
Cost
Total
Grand
Total
The statement of Financial Disclosure must be returned to the SG office by the published deadline, to
avoid an infraction. You must turn in a statement of Financial Disclosure, even if you do not spend any
money on your campaign. Additionally, each ticket’s or officer’s campaign manager must submit
aggregate ticket expenses.
Failure to provide receipts documenting spending is grounds for an infractions charged. Failure to
submit a valid Financial Disclosure form is grounds for expulsion from the race.
Privacy Statement With few exceptions, you are entitled on your request to be informed about the information U. T. Dallas collects about you.
Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to receive and review the information. Under Section
559.004 of the Texas Government Code, you are entitled to have U. T. Dallas correct information about you that is held by us and that is
incorrect.
D
UTD STUDENT ID
ISCLOSURE OF YOUR
NUMBER IS REQUESTED BECAUSE IT IS A UNIQUE IDENTIFICATION NUMBER WHICH IS MAINTAINED FOR
. T
.
THE PURPOSE OF ENSURING TRACKING AND ACCURACY OF STUDENT INFORMATION
HE DISCLOSURE OF SUCH INFORMATION IS VOLUNTARY
D
UTD I
P
I
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(C
552
T
ISCLOSURE OF YOUR
DENTIFICATION NUMBER WILL BE GOVERNED BY THE
UBLIC
NFORMATION
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HAPTER
OF THE
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OVERNMENT
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