YMCA of Western North Carolina
YMCA of Western North Carolina

Conflict of Interest Form

Policy

BACKGROUND
The YMCA of Western North Carolina ("Y") recognizes that firsthand experience and involvement in the Western North Carolina community is a positive attribute when selecting Board members, committee members and staff. At the same time, the Y is aware that, particularly with respect to members of the Y Board of Directors and its committees, community activities will include involvement with organizations, businesses or individuals that may present a conflict of interest. When an individual's and/or his or her immediate family members' position commits that individual to high degree of loyalty or responsibility to another organization, business or person, a conflict of interest arises. This could include formal policy making roles and informal relationships that may cause bias. The phrase "immediate family members" means a spouse, child or parent.

CONFLICT OF INTEREST POLICY
To protect the reputation of the Y, as well as to prevent undermining the public's trust, it is the policy of the Y that no organization, business or individual shall receive special consideration due to a relationship with a Y Board member, committee member or staff person.

PARTICULAR POLICIES AND PRACTICES
As to all Board members, committee members and staff persons: (a) annually file with the Y President and CEO a disclosure of all known potential conflicts of interest; (b) avoid any activity or outside interest which conflicts, or could reasonably be considered to appear to conflict, with the best interest of the Y including but not limited to involvement with a current or potential Y vendor, grantee or competing organization, unless disclosed to and not deemed to be inappropriate by, in the case of a staff member, the Y President and CEO, and in the case of a Board or Committee member, the Y Executive Committee; and (c) refrain from influencing the selection of staff, consultants or vendors who are relatives or personal friends or affiliated with, employ, or employed by a person with whom they have a relationship that adversely affects the appearance of impartiality. It is the practice of the Y that all employees shall:

  • (a) ensure that any outside employment or outside activities do not adversely affect the performance of their Y duties or the achievement of the Y's mission;
  • (b) ensure that travel, entertainment and related expenses are incurred on a basis consistent with
    • (i) the mission of the Y, and
    • (ii) Y policy on reimbursement, and not for personal gain or interest; and
  • (c) decline any gift, gratuity or favor in the performance of Y duties except for promotional items of nominal value, and any food, transportation, lodging or entertainment unless directly related to Y business.

PRACTICES WITH RESPECT TO BOARD MEMBERS AND COMMITTEE MEMBERS
Y Board of Director members and Y Board Committee members have the responsibility for identifying and applying the conflict of interest policy, and shall disclose all known conflicts or potential conflicts of interest in any manner before the Board of Directors. They will withdraw from the meeting room during any discussion, review and voting in connection with such matter, except as to respond to specific questions to inform the discussion.
 

Report a Conflict of Interest 


Fill out the form below to report a conflict of interest. 

Board Member, Committee Member, or Staff Member Name
In view of the Conflict of Interest Policy and Practices, the undersigned identifies potential conflicts of interest as follows:
Enter your current employer or principal business affiliation.
Enter your position with your current employer or principal business affiliation.
Enter your involvement with the YMCA or Western North Carolina community.
Please disclose all official positions which you or any member of your immediate family (as defined in the Conflict of Interest Policy) may have as a director, trustee, or officer of any charitable, civic, or community organization. In addition, please list other organizations, businesses, or individuals where you have relationships that may give rise to a possible conflict of interest between you and the Y. 
If at any time there is a matter under consideration that may constitute a conflict of interest, it is your obligation to disclose those facts to, if you are a staff member, the President and CEO. If you are a Y Board or committee member, to the Executive Committee, and to refrain from voting in connection with any such matter. 

Your signature below indicates that you have read and understand the policy and practices above, and agree to adhere to the conflict of interest policy and practices, and have identified any potential conflicts as of this date.