Form Usage Guidelines

For Volunteers and Others:
For volunteers, editors and others, involved in making procurement decisions or other activities that could represent a potential conflict of interest, the questionnaire should be completed and returned to the departmental coordinator for preliminary review, prior to final determination by the responsible Board or Committee officer. 

For Staff:
This questionnaire is to be completed by all employees with signing authority and forwarded to the Controller’s Department Coordinator Jessi Spencer (if e-mailing the fom, the address is j.spencer@ieee.org) in conjunction with the annual update of the Signing Authority Tables. 

Staff members, without signing authority, who have other responsibilities that could represent a potential conflict of interest should complete and return this questionnaire to their respective supervisors once per year to assure that such situations are identified, addressed and kept current.

Before submitting completed questionnaires with explanations to “YES” answered questions that could be considered as revealing “business confidential” information, it may be advisable to discuss such responses with your corporate and/or personal attorney.

Due to the size and scope of the Institute, it is not unusual for an employee, volunteer, editor or others to make some affirmative responses to the questions included herein.  If a question is answered “YES,” it does not mean that a conflict of interest necessarily exists.

All “YES” answers will be reviewed in the context of the employee, volunteer or other individual’s  respective IEEE assignment(s).  Discussion is encouraged with responsible Staff supervision and/or Volunteer officers in determining the appropriate disposition of potential conflict of interest situations. 

For example, as a result of the review and subsequent discussions, it might be determined that a Staff member should not work on a particular project or a Volunteer should not participate in a particular decision.