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Dual Employment Reporting Form - Old Dominion University

Dual Employment Reporting Form - Old Dominion University 2025

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The document is a Dual Employment Reporting Form for employees of Old Dominion University, requiring them to disclose any potential conflicts of interest as mandated by the State and Local Government Conflict of Interests Act. It outlines the definition of a conflict of interest, the responsibilities of employees to report such conflicts, and the consequences for failing to do so. The form collects personal and employment information from the employee and includes a section for reporting immediate family members employed by the university.

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