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6 <br />ETHICS GUIDELINES FOR TOWN ADVISORY BOARDS AND COMMISSIONS <br />(Please check if you agree.) <br />Yes, if appointed, I pledge to comply with the following ethics guidelines for advisory boards and <br />commissions as adopted by the Chapel Hill Town Council. (Other Council committees and OWASA are excluded.) <br />Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in which they have <br />a conflict of interest or an interest which reasonably might appear to be in conflict with the concept of fairness in <br />dealing with public business. A conflict of interest or a potential conflict occurs if a member has a separate, private, <br />or monetary interest, either direct or indirect, in any issue or transaction under consideration. Any member who <br />violates this provision may be subject to removal from the board or commission. <br />If the advisory board or commission member believes he/she has a conflict of interest then that member should ask <br />the advisory board or commission to be recused from voting. The advisory board or commission should then vote on <br />the question on whether or not to excuse the member making the request. In cases where the individual member or <br />the advisory board or commission establishes a conflict of interest, then the advisory board or commission member <br />shall remove themselves from the voting area. <br />Any advisory .board or commission member may seek the counsel of the Town Attorney on questions regarding the <br />interpretation of these ethics guidelines or other conflict of interest matters. The interpretation may include a <br />recommendation on whether or not the advisory board or commission member should excuse himself/herself from <br />voting. The advisory board or commission member may request the Town Attorney respond in writing. <br />Please provide a brief statement outlining why you wish to serve on the Advisory Board(s), Commission(s), <br />Committee(s) or Task Force(s) to which you are applying. <br />Applicant's Signature Required Date <br />Applications will be purged after two spring appointment cycles (approximately two years). Please reapply at that time if you are still <br />interested in serving on an Advisory Board Commission, Committee or Task Force and have not yet been appointed. <br />Please return form to: <br />Communications and Public Affairs Department, 405 Martin Luther King, Jr. Blvd., Chapel Hill, NC 27514 <br />Email clerk(cr~,townofchapelhill.org or FAX 919-967-8406 <br />